Organization
EASTER SEAL REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY E PRAGER (CEO/PRESIDENT)
(304) 242-1390
Entity
Organization
Contact information
Practice address
1305 NATIONAL RD, WHEELING, WV 26003-5705
(304) 242-1390
(304) 243-5880
Mailing address
1305 NATIONAL RD, WHEELING, WV 26003-5705
(304) 242-1390
(304) 243-5880
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
13871
WV
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008998000
—
WV
05
—
0641961
—
OH
Enumeration date
06/21/2005
Last updated
11/18/2024
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