# EASTER SEAL REHABILITATION CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134124647
- **Authorized official:** JAY E PRAGER (CEO/PRESIDENT)
- **Authorized official phone:** (304) 242-1390

## Contact information

- **Practice address:** 1305 NATIONAL RD, WHEELING, WV 26003-5705
- **Practice address phone:** (304) 242-1390
- **Practice address fax:** (304) 243-5880
- **Mailing address:** 1305 NATIONAL RD, WHEELING, WV 26003-5705
- **Mailing address phone:** (304) 242-1390
- **Mailing address fax:** (304) 243-5880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | 13871 | WV | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 11/18/2024