Individual
JADYN RUTH DILLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 KAUFMAN DR, FAIRMONT, WV 26554-2179
(304) 363-4891
Mailing address
130 KAUFMAN DR, FAIRMONT, WV 26554-2179
(304) 363-4891
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1922
WV
224Z00000X
Occupational Therapy Assistant
OP005971
PA
Other
Enumeration date
09/18/2010
Last updated
08/26/2013
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