| Ms Susan Anne Weaver, OTR | |
| 
					12265 James St, Holland, MI 49424-8613  | |
| (616) 494-5461 | |
| (616) 393-5687 | 
| Full Name | Ms Susan Anne Weaver | 
|---|---|
| Gender | Female | 
| Speciality | Occupational Therapist - Mental Health | 
| Location | 12265 James St, Holland, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1982921573 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225XM0800X | Occupational Therapist - Mental Health | 5201003205 (Michigan) | Primary | 
| Provider Name | County Of Ottawa | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1619932381 PECOS PAC ID: 0042118036 Enrollment ID: O20050108000114  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Susan Anne Weaver, OTR 12265 James St, Holland, MI 49424-8613 Ph: (616) 494-5461  | Ms Susan Anne Weaver, OTR 12265 James St, Holland, MI 49424-8613 Ph: (616) 494-5461  | 
Charity Joy Brondyke, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6871 Jennifer Dr, Holland, MI 49424 Phone: 616-405-4503  | |
Angela D Hall, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 E 8th St, Holland, MI 49423 Phone: 616-796-3800  | |
Rylea Aukema, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3844 112th Ave, Holland, MI 49424 Phone: 616-795-6685  | |
Monica Lee Pelletier, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12330 James St Ste H10, Holland, MI 49424 Phone: 616-582-3100 Fax: 616-582-3149  | |
Barbara Rose Horner, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 765 Wintersun Pl, Holland, MI 49424 Phone: 616-355-6612 Fax: 616-355-6617  | |
Jessica Drews,  Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12330 James St Ste H10, Holland, MI 49424 Phone: 616-582-3100  | |
Ms. Quinne Boersma, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 W 40th St, Holland, MI 49423 Phone: 616-796-3600  |