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Organization
PEDIATRIC OASIS
Active
Organization
PEDIATRIC OASIS
Active
Other names
Peds Oasis
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERAIN BRUCE MOT, OTR/L, CAS (OWNER/CEO)
(304) 719-5598
Entity
Organization
Contact information
Practice address
12 DOGWOOD WAY, TROY, VA 22974-6231
(304) 719-5598
Mailing address
12 DOGWOOD WAY, TROY, VA 22974-6231
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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