Individual
CAROL M. KISNER MCGRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
26 COMMERCE DRIVE, WESTOVER, WV 26501
(304) 241-1219
(304) 322-4485
Mailing address
105 MAPLE GROVE AVE, WESTOVER, WV 26501-4081
(304) 241-1219
(304) 322-4485
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
886
WV
225X00000X
Occupational Therapist
OC007261L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1802136000
—
WV
Enumeration date
06/05/2009
Last updated
10/19/2017
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