Individual
MARY PLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 ASSOCIATION DR, CHARLESTON, WV 25311-1270
(304) 347-4372
Mailing address
117 KELLER AVE, FAYETTEVILLE, WV 25840-1223
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1908
WV
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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