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Individual

AMELIA M ABBOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
120 MELROSE DRIVE, GLASGOW HEALTH AND REHAB CARE, GLASGOW, WV 25086
(304) 595-1155
Mailing address
120 MELROSE DRIVE, GLASGOW, WV 25086

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1766
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C1766
COTA/L
WV
Enumeration date
09/11/2019
Last updated
09/11/2019
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