Individual
ANDREW DEREK ALTIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOT
Contact information
Practice address
179 STATION PL, HURRICANE, WV 25526-6578
(304) 760-6300
(304) 201-5123
Mailing address
179 STATION PL, HURRICANE, WV 25526-6578
(304) 760-6300
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2489
WV
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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