Individual
STEPHEN NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1379 VAN VOORHIS RD, MORGANTOWN, WV 26505-3415
(304) 599-9480
Mailing address
5007 MID ATLANTIC DR, MORGANTOWN, WV 26508-4298
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
05/18/2023
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