Individual
STASI MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
431 N VANCE DR, BECKLEY, WV 25801-4128
(304) 890-1702
Mailing address
431 N VANCE DR, BECKLEY, WV 25801-4128
(304) 890-1702
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2508
WV
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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