Individual
STEPHANIA AMANDA ACORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 STADIUM DRIVE, MORGANTOWN, WV 26506-7911
(304) 598-4820
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 293-7401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1059
WV
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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