KASSIDY DAWN LANE

HURRICANE, WV
NPI1033952049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WV  482654)
Enumeration Date2024-06-17
Last Update Date2024-06-17
Business Address
KASSIDY DAWN LANE
179 STATION PL
HURRICANE, WV 25526-6578
Phone number: 304-760-6300
Mailing Address
KASSIDY DAWN LANE
179 STATION PL
HURRICANE, WV 25526-6578
Phone number: 304-760-6300