Individual
ANNIKA LAFFERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 ROBIN LN, MOUNT CLARE, WV 26408-9705
(304) 933-3073
Mailing address
5 ROBIN LN, MOUNT CLARE, WV 26408-9705
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1719
WV
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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