Individual
LISA B MEWSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
50 MULBERRY TREE ST, CHARLES TOWN, WV 25414-1274
(304) 724-1101
Mailing address
73 HOLLY SPRINGS DR, CHARLES TOWN, WV 25414-4771
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1585
WV
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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