| NPI | 1265591366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE C COMER-PORTER Executive Director 304-523-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2022-07-21 |