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1720541287
RICHARD PAUL MASTALSKI
BRIDGEPORT, WV
NPI
1720541287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WV 1772)
Enumeration Date
2019-04-11
Last Update Date
2019-04-11
Business Address
RICHARD PAUL MASTALSKI OTR/L
415 BENEDUM DR
BRIDGEPORT, WV 26330-1503
Phone number: 304-842-9887
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Mailing Address
RICHARD PAUL MASTALSKI OTR/L
650 FAIRWAY VIEW DR
PETERSTOWN, WV 24963-5048
Phone number: 304-960-0645
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