Individual
MR. KENNETH DION STOWERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
BARRON DR, INSTITUTE, WV 25112-1004
(304) 766-4863
(304) 766-4733
Mailing address
BARRON DR, P O BOX 1004, INSTITUTE, WV 25112-1004
(304) 766-4863
(304) 766-4733
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1078
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1078
WV BD OF OT
WV
05
—
7505069000
—
WV
Enumeration date
01/09/2006
Last updated
07/09/2007
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