Individual
MRS. DEANNA TARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 PARK DR, DUNBAR, WV 25064-2624
(304) 989-7074
Mailing address
925 PARK DRIVE, DUNBAR, WV 25064
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1601
WV
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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