Individual
ELISE ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
150 MEMORIAL DR, KINGWOOD, WV 26537-1141
(304) 329-3908
(304) 329-3918
Mailing address
150 MEMORIAL DR, KINGWOOD, WV 26537-1141
(304) 329-3908
(304) 329-3918
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1981
WV
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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