Individual
MRS. TERESA RAY SHEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
80 MADDEX DR, SHEPHERDSTOWN, WV 25443-4305
(304) 876-9422
(304) 876-6279
Mailing address
126 RISER LN, HEDGESVILLE, WV 25427-6058
(304) 754-7048
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119002744
VA
225X00000X
Occupational Therapist
02869
MD
225X00000X
Occupational Therapist
Primary
129
WV
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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