Individual
CASSANDRA RENEE SLATE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1000 LINCOLN DRIVE, SOUTH CHARLESTON, WV 25309
(304) 768-4400
Mailing address
5300 HUGHES CREEK ROAD, HUGHESTON, WV 25110
(304) 442-2849
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1603
WA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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