Individual
ASHLEY SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HICUMBOTTOM RUN RD, SISSONVILLE, WV 25320-7196
(304) 988-9689
Mailing address
600 HICUMBOTTOM RUN RD, SISSONVILLE, WV 25320-7196
(304) 988-9689
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1996
WV
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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