Individual
MR. RONALD KEITH CLOSE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
122 BEAR MOUNTAIN DR, KEYSER, WV 26726-1806
(304) 617-5844
Mailing address
122 BEAR MOUNTAIN DR, KEYSER, WV 26726-1806
(304) 617-5844
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01808
MD
225X00000X
Occupational Therapist
C 1756
WV
Other
Enumeration date
12/16/2010
Last updated
12/02/2022
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