Individual
HEATHER DELLENBAUGH I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
840 LEE RD, FOLLANSBEE, WV 26037-1783
(304) 527-1100
Mailing address
840 LEE RD, FOLLANSBEE, WV 26037-1783
(304) 527-1100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OP008047
PA
224Z00000X
Occupational Therapy Assistant
Primary
X1995
WV
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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