TANYA DAWN BALLENGER

BECKLEY, WV
NPI1174867600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WV  C1512)
Enumeration Date2012-11-21
Last Update Date2012-11-21
Business Address
Miss TANYA DAWN BALLENGER COTA
405 STANAFORD RD
BECKLEY, WV 25801-3143
Phone number: 304-252-6317
Mailing Address
Miss TANYA DAWN BALLENGER COTA
40 SMOKEY BRANCH RD
DANESE, WV 25831-7720
Phone number: 304-575-0927
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