Individual
KHALED ABOULHOSN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 HIDDEN VALLEY ESTS, SCOTT DEPOT, WV 25560-9301
(304) 757-5627
Mailing address
150 HIDDEN VALLEY ESTS, SCOTT DEPOT, WV 25560-9301
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C#1036
WV
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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