Individual
MRS. RENEE DENISE FAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
HC 63 BOX 2580, ROMNEY, WV 26757-9718
(304) 822-7527
Mailing address
318 S MAIN ST, MOOREFIELD, WV 26836-1283
(304) 530-7857
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1334
WV
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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