| NPI | 1891124715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN STONE Owner 304-650-9431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WV WV692) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: WV PT 002271) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |