Individual
LILA KATE POLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5510 VIRGINIA AVE SE, CHARLESTON, WV 25304-2339
(304) 685-4901
Mailing address
740 SCOTT RIDGE RD, BEAVER, WV 25813-9448
(304) 687-7164
(304) 687-7164
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2601
WV
Other
Enumeration date
10/07/2025
Last updated
10/24/2025
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