Individual
RICHARD PAUL MASTALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
415 BENEDUM DR, BRIDGEPORT, WV 26330-1503
(304) 842-9887
Mailing address
650 FAIRWAY VIEW DR, PETERSTOWN, WV 24963-5048
(304) 960-0645
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1772
WV
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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