Individual
LARISSA IDALMIS HASTINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
20 HOMESTEAD AVE, WHEELING, WV 26003-6638
(304) 234-0563
(304) 234-0554
Mailing address
20 HOMESTEAD AVE, WHEELING, WV 26003-6638
(304) 234-0563
(304) 234-0554
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1089
WV
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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