DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARISSA WIEDMER

Active

Occupational Therapist · BOONVILLE, NY

Registration Details

NPI Number
1134954811
Provider Type
Individual
Gender
Female
NPI Issued
Sep 3, 2024 (1.6968624309532 yrs)
Last Updated
Sep 3, 2024

Practice Information

Address
8027 KOLOSA RD
BOONVILLE, NY, 133094105
Browse NY providers · Browse ZIP 13309
Phone
3157091058
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in BOONVILLE, NY

Name Credential NPI
BOHDAN G KROP OTRL 1689885204
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.