Organization
BEST LIFE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHEA LORENN DYER MS-CCC/SLP (OWNER)
(304) 657-0551
Entity
Organization
Contact information
Practice address
141 STATE ST., BRIDGEPORT, WV 26330-0000
(305) 657-0551
Mailing address
141 STATE ST., BRIDGEPORT, WV 26330-0000
(305) 657-0551
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810016421
—
WV
Enumeration date
03/25/2010
Last updated
05/24/2010
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