Individual
ERICA COLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
RT. 10 THREE MILE CURVE RD., LOGAN, WV 25601
(304) 752-2273
Mailing address
PO BOX 478, OCEANA, WV 24870-0478
(304) 682-2013
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1622
WV
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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