Individual
MRS. HEATHER IRENE CLARKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
200 ELIZABETH ST, CHARLESTON, WV 25311-2119
(304) 343-7770
Mailing address
4298 WOODRUM LN, CHARLESTON, WV 25313-2323
(304) 590-5232
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1570
WV
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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