| NPI | 1760616254 |
|---|---|
| Doing Business As | CORNERSTONE PEDIATRIC CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | ANDREW R CITERONE Member 304-672-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WV 1175) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: WV 1175) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |