Individual
BROOKE ELIZABETH WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
25 CHERRY RIDGE LN, EDMOND, WV 25837-6011
(304) 719-9999
Mailing address
25 CHERRY RIDGE LN, EDMOND, WV 25837-6011
(304) 719-9999
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1878
WV
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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