Individual
REBEKAH LORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 REGAL OAKS, BARBOURSVILLE, WV 25504-9639
(304) 638-3767
Mailing address
56 REGAL OAKS, BARBOURSVILLE, WV 25504-9639
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2393
WV
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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