Provider Demographics
NPI:1558681361
Name:WEITMAN, ALISON (OTR/L)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:WEITMAN
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 1:710 MERGANSER CIR
Mailing Address - Street 2:
Mailing Address - City:GLENNVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30427-2328
Mailing Address - Country:US
Mailing Address - Phone:352-536-2561
Mailing Address - Fax:407-264-6557
Practice Address - Street 1:816 FORESTWOOD DR
Practice Address - Street 2:
Practice Address - City:MINNEOLA
Practice Address - State:FL
Practice Address - Zip Code:34715-7723
Practice Address - Country:US
Practice Address - Phone:352-536-2561
Practice Address - Fax:407-264-6557
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT003389225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist