Individual
MRS. ANITA LORAINE NESLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
205 2ND ST., JUNIOR, WV 26275-0344
(304) 823-1505
(304) 823-1505
Mailing address
PO BOX 344, 205 2ND ST., JUNIOR, WV 26275-0344
(304) 823-1505
(304) 823-1505
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
430
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7503054-000
—
WV
Enumeration date
06/06/2006
Last updated
09/30/2008
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