JACKIE LEONARD

MORGANTOWN, WV
NPI1184792087
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WV  c1448)
Enumeration Date2006-12-01
Last Update Date2007-07-08
Business Address
-- JACKIE LEONARD COTA
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Phone number: 304-598-4118
Mailing Address
-- JACKIE LEONARD COTA
477 TYRONE AVERY RD
MORGANTOWN, WV 26508-4198
Phone number:
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