Individual
MISS ALEXIS NICOLE WUNDERLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
130 KAUFMAN DR, FAIRMONT, WV 26554
(304) 363-5634
Mailing address
437 KENSINGTON AVE, STAR CITY, WV 26505-2037
(724) 344-0654
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1544
WV
Other
Enumeration date
06/02/2011
Last updated
09/27/2018
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