Provider Demographics
NPI:1750963609
Name:WEIMER, VIRGINIA (COTA)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:
Last Name:WEIMER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:
Other - Last Name:WEIMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:629 ASCENSION DR E
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-3801
Mailing Address - Country:US
Mailing Address - Phone:412-860-8416
Mailing Address - Fax:
Practice Address - Street 1:629 ASCENSION DR E
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-3801
Practice Address - Country:US
Practice Address - Phone:412-860-8416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant