Organization
THE DEVELOPMENTAL ADVANTAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY JO HIGGINS (OWNER)
(304) 881-2585
Entity
Organization
Contact information
Practice address
12 KILLEN HOLLOW DR, CROSS LANES, WV 25313-3516
(304) 881-2585
Mailing address
PO BOX 7533, CHARLESTON, WV 25356-0533
(304) 881-2585
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
225X00000X
Occupational Therapist
1125
WV
Other
Enumeration date
08/14/2015
Last updated
08/17/2015
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