DWAYNE EDGAR WRISTON

SOUTH CHARLESTON, WV
NPI1316623754
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WV  C1636)
Enumeration Date2023-06-22
Last Update Date2023-06-22
Business Address
DWAYNE EDGAR WRISTON
4825 MACCORKLE AVE SW STE F
SOUTH CHARLESTON, WV 25309-1365
Phone number: 304-346-9667
Mailing Address
DWAYNE EDGAR WRISTON
4825 MACCORKLE AVE SW STE F
SOUTH CHARLESTON, WV 25309-1365
Phone number: 304-346-9667