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Individual

DARYN MARIE SHAMBLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
590 POPLAR FORK RD, HURRICANE, WV 25526-9434
(304) 757-7826
Mailing address
507 FRAME RD APT 8, ELKVIEW, WV 25071-9294
(304) 550-7387

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1700
WV

Other

Enumeration date
08/07/2009
Last updated
08/07/2009
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