Individual
MARIA MINERVA ABELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CLT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
079078
MD
225X00000X
Occupational Therapist
827
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004312000
—
WV
Enumeration date
09/22/2006
Last updated
02/07/2017
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