CANDACE LEIGH LUSK

LOGAN, WV
NPI1003932914
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WV  1381)
Enumeration Date2007-03-22
Last Update Date2007-07-08
Business Address
Mrs. CANDACE LEIGH LUSK COTA
RT 10 THREE MILE CURVE RD
LOGAN, WV 25601
Phone number: 304-752-2273
Mailing Address
Mrs. CANDACE LEIGH LUSK COTA
PO BOX 211
KOPPERSTON, WV 24854-0211
Phone number:
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