Individual
LAURA SHEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
401 6TH AVE, MONTGOMERY, WV 25136-2116
(304) 442-7416
Mailing address
127 OLD COURT ST, FAYETTEVILLE, WV 25840-1012
(304) 237-8646
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1792
WV
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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