Individual
MRS. BROOKE SAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
111 FAYETTE AVE, FAYETTEVILLE, WV 25840-1219
(304) 574-1176
Mailing address
PO BOX 1531, LEWISBURG, WV 24901-4531
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1572
WV
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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