Individual
JENNIFER L. ESCOBEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1000 ASSOCIATION DR, CHARLESTON, WV 25311-1270
(304) 347-4372
Mailing address
1000 ASSOCIATION DR, CHARLESTON, WV 25311-1270
(304) 347-4372
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1639
WV
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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