Individual
GWENDOLYN S MASTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
306 W MAIN ST, BRIDGEPORT, WV 26330-1751
(304) 842-9887
(304) 842-9888
Mailing address
306 W MAIN ST, BRIDGEPORT, WV 26330-1751
(304) 842-9887
(304) 842-9888
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
920
WV
Other
Enumeration date
11/13/2007
Last updated
02/16/2011
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