Individual
MARTI LEA KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 CALDWELL LN, DUNBAR, WV 25064-2026
(304) 744-7064
(304) 744-5476
Mailing address
501 CALDWELL LN, DUNBAR, WV 25064-2026
(304) 744-4761
(304) 744-5476
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1024
WV
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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