Individual
KATHERINE LYNNE WELSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 DIANE DRIVE, FORT ASHBY, WV 26719
(304) 298-3602
Mailing address
14818 WINCHESTER RD SW, CRESAPTOWN, MD 21502-5551
(304) 790-1679
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2107
WV
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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