Individual
KELLEY PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 SHADY LAKE DR, SHADY SPRING, WV 25918-8461
(304) 578-0008
Mailing address
145 SHADY LAKE DR, SHADY SPRING, WV 25918-8461
(304) 578-0008
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2290
WV
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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