Isabel J Weaver
Isabel J Weaver is an Occupational Therapist in Private Practice in South Bend, Indiana. Qualified in 2020, 6 years ago. Practices with Aegis Group Practice LLC, a 406-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 6
- Licensed in
- IN
- In the registry since
- 2024
Practice location Address checks out
19685 Johnson RdSouth Bend, IN 46614-5440
Phone: (574) 386-4010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 31007378A (IN) |
|---|
Record details
| NPI number | 1538913249 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 17, 2024 |
| Last updated in NPPES | April 17, 2024 |
| Certification date | April 17, 2024 |
| Mailing address | 12347 Diamond Dr, Plymouth, IN 46563-8614 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Aegis Group Practice Llc — 406 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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