Individual
KATHY CITERONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
200 HELIPORT LOOP ROAD, BRIDGEPORT, WV 26330-6366
(304) 842-8463
Mailing address
PO BOX 1366, BRIDGEPORT, WV 26330-6366
(304) 842-8463
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1175
WV
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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