Individual
SARAH VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 946-8525
Mailing address
PO BOX 372, WILKINSON, WV 25653-0372
(304) 946-8525
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1379
WV
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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