Individual
MS. KILEY MICHELLE PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
106 TYREE ST., ANSTED, WV 25812
(304) 658-5271
(304) 658-4153
Mailing address
PO BOX 686, OAK HILL, WV 25901-0686
(304) 574-3888
(304) 574-3888
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1356
WV
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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