Individual
NATHANAEL RANCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
80 MADDEX DR, SHEPHERDSTOWN, WV 25443-4305
(304) 876-9422
Mailing address
80 MADDEX DR, SHEPHERDSTOWN, WV 25443-4305
(304) 876-9422
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2144
WV
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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