Organization
DEVELOPMENTAL THERAPY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE COMER-PORTER (EXECUTIVE DIRECTOR)
(304) 523-1164
Entity
Organization
Contact information
Practice address
845 4TH AVE STE 302A, HUNTINGTON, WV 25701-1428
(304) 523-1164
(304) 522-2474
Mailing address
845 4TH AVE STE 302A, HUNTINGTON, WV 25701-1428
(304) 523-1164
(304) 522-2474
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1267
WV
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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