Individual
TASHA M SHRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/RL
Contact information
Practice address
141 STATE ST, BRIDGEPORT, WV 26330-1375
(304) 933-3073
Mailing address
PO BOX 220, BRIDGEPORT, WV 26330-0220
(304) 933-3073
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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