Individual
JASMINE HELENA COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BAKER LN, CHARLESTON, WV 25302-2900
(304) 345-0867
Mailing address
229 MEADOR LN, SHADY SPRING, WV 25918-8576
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2173
WV
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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