Individual
LAUREN STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
PO BOX 673, CRAB ORCHARD, WV 25827-0673
(304) 575-9980
Mailing address
1000 LINCOLN DR, SOUTH CHARLESTON, WV 25309-2304
(304) 768-4400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2116
WV
Other
Enumeration date
01/16/2017
Last updated
09/12/2024
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