Organization
DEVELOPMENTAL THERAPY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE C COMER-PORTER SLP (EXECUTIVE DIRECTOR)
(304) 523-1164
Entity
Organization
Contact information
Practice address
803 7TH AVENUE, HUNTINGTON, WV 25701
(304) 523-1164
(304) 522-2474
Mailing address
803 7TH AVENUE, HUNTINGTON, WV 25701
(304) 523-1164
(304) 522-2474
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
WV
225100000X
Physical Therapist
—
WV
235Z00000X
Speech-Language Pathologist
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0203853000
—
WV
Enumeration date
12/06/2006
Last updated
07/21/2022
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