Individual
NICOLE YVONNE LARUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L, C/NDT
Contact information
Practice address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 243-3195
Mailing address
217 MAPLE DAVIS LN, WHEELING, WV 26003-7485
(304) 639-8038
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
.008052
OH
225XP0019X
Physical Rehabilitation Occupational Therapist
1445
WV
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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