Individual
LECIA DAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1000 LINCOLN DR, SOUTH CHARLESTON, WV 25309-2304
(304) 768-4400
Mailing address
573 COAL RIVER RD, SAINT ALBANS, WV 25177-9425
(304) 687-5324
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
597
WV
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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