Individual
BRANDI S ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
146 WATER ST, SALEM, WV 26426-1154
(304) 782-3000
Mailing address
146 WATER ST, SALEM, WV 26426-1154
(304) 782-3000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1709
WV
224Z00000X
Occupational Therapy Assistant
OP006706
PA
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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