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Individual

LISA MARIE HEATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
299 WV-2, NEW MARTINSVILLE, WV 26155
(304) 455-0350
Mailing address
112 KIGER LN, VALLEY GROVE, WV 26060-5998
(304) 281-6999

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1495
WV

Other

Enumeration date
02/21/2024
Last updated
02/21/2024
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