Individual
JILL LYN METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
260 SUNRISE BLVD, ROMNEY, WV 26757-6345
(304) 822-7527
Mailing address
PO BOX 410, FORT ASHBY, WV 26719-0410
(240) 625-5176
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1420
WV
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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