Individual
KIRSTIE NIGHTENGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2720 CHARLES TOWN RD, MARTINSBURG, WV 25405-5626
(304) 263-0933
Mailing address
15 WASHINGTON ST, LONACONING, MD 21539-1021
(240) 362-4644
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2135
WV
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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