Provider Demographics
NPI:1841662632
Name:WEIMER, HILLARY (OTR/L)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:WEIMER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30179 PHILPOTT AVE
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MO
Mailing Address - Zip Code:65281-2360
Mailing Address - Country:US
Mailing Address - Phone:660-651-2428
Mailing Address - Fax:
Practice Address - Street 1:30179 PHILPOTT AVE
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MO
Practice Address - Zip Code:65281-2360
Practice Address - Country:US
Practice Address - Phone:660-651-2428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015031110225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist