Individual
REBECCA ZAVAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1539 COUNTRY CLUB RD, FAIRMONT, WV 26554-1306
(304) 366-9100
Mailing address
2157 SPRINGHILL FURNACE RD, SMITHFIELD, PA 15478-1429
(724) 466-0504
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2314
WV
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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