Individual
LYNN MARIE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
840 LEE RD, FOLLANSBEE, WV 26037-1783
(304) 527-1100
Mailing address
840 LEE RD, FOLLANSBEE, WV 26037-1783
(304) 527-1100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1853
WV
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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