| NPI | 1710510037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENFORD EDWIN SERGENT Occupational Therapist 304-582-4977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |