Individual
NATALIE BROOK CHIDESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
200 HOSPITAL DR, SPENCER, WV 25276-1050
(304) 927-4444
Mailing address
53 MEADOW BROOKE DR, MORGANTOWN, WV 26508-2911
(304) 685-4013
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1400
WV
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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