Individual
JILL E. COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3910 TEAYS VALLEY RD, HURRICANE, WV 25526-9756
(304) 757-7293
(304) 757-0574
Mailing address
3910 TEAYS VALLEY RD, HURRICANE, WV 25526-9756
(304) 757-7293
(304) 757-0574
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
906
WV
225XH1200X
Hand Occupational Therapist
Primary
1041100065
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9440132000
—
WV
Enumeration date
11/03/2006
Last updated
09/11/2025
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