Individual
MS. CASEY JOLENE VEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1218 POCAHONTAS AVE, RONCEVERTE, WV 24970-1025
(304) 661-7151
Mailing address
RT 92 @ RT 60, WHITE SULPHUR SPRINGS, WV 24986
(304) 536-4661
(304) 536-1328
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1637
WV
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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