Individual
JOSIE LANE SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1 SUTPHIN DR, MARMET, WV 25315-1977
(304) 949-2000
Mailing address
149 BRIARWOOD LN, BECKLEY, WV 25801-9779
(304) 673-6390
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C0249
WV
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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