Organization
GOLD KEY OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY D ELZA O.T.R. (OWNER/OCCUPATIONAL THERAPIST)
(304) 777-0517
Entity
Organization
Contact information
Practice address
1405 ARCADIA DR, FAIRMONT, WV 26554-9164
(304) 777-0517
Mailing address
1405 ARCADIA DR, FAIRMONT, WV 26554-9164
(304) 777-0517
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1565
WV
Other
Enumeration date
08/07/2014
Last updated
03/09/2015
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