PAUL DAVID LARGE

HUNTINGTON, WV
NPI1528617636
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WV  C1089)
Enumeration Date2019-09-11
Last Update Date2019-09-11
Business Address
PAUL DAVID LARGE
1720 17TH ST
HUNTINGTON, WV 25701-4235
Phone number: 304-529-6031
Mailing Address
PAUL DAVID LARGE
1720 17TH ST
HUNTINGTON, WV 25701-4235
Phone number: 304-529-6031