Individual
DEZIRAE F TWEEDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9435 POCAHONTAS TRL, WHITE SULPHUR SPRINGS, WV 24986-5012
(681) 238-3494
Mailing address
229 TANNER DR, BECKLEY, WV 25801-9610
(681) 238-3494
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2562
WV
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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