JESSICA ELIZABETH LONGENETTE

SOUTH CHARLESTON, WV
NPI1518479617
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WV  C2178)
Enumeration Date2017-10-30
Last Update Date2017-10-30
Business Address
JESSICA ELIZABETH LONGENETTE COTA/L
1000 LINCOLN DR
SOUTH CHARLESTON, WV 25309-2304
Phone number: 304-766-1722
Mailing Address
JESSICA ELIZABETH LONGENETTE COTA/L
412 FLETCHER RD APT 6
SCOTT DEPOT, WV 25560-7298
Phone number: 304-940-5320