Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marissa Jasmine Weber

Individual provider Occupational Therapy Assistant · NPI 1558967059

Marissa Jasmine Weber is an Occupational Therapy Assistant in Mendota, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020

Practice location Address checks out

1222 Burlington St
Mendota, IL 61342-1506
Phone: (815) 993-6454
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057005052 (IL)

Record details

NPI number1558967059
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 9, 2020
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020
Mailing address1222 Burlington St, Mendota, IL 61342-1506

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