Individual
AMANDA GARNER MEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1015 OAKHURST DR, CHARLESTON, WV 25314-2049
(304) 345-8101
(304) 345-7386
Mailing address
1015 OAKHURST DR, CHARLESTON, WV 25314-2049
(304) 345-8101
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1390
WV
Other
Enumeration date
03/19/2009
Last updated
05/02/2012
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