| NPI | 1588079677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE SUE BOGGESS Owner 304-743-5267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 2261-3593) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |