Individual
LAURA BASHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 STANLEY ST, MORGANTOWN, WV 26508-9115
(304) 319-1433
Mailing address
105 STANLEY ST, MORGANTOWN, WV 26508-9115
(304) 319-1433
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119008491
VA
225X00000X
Occupational Therapist
Primary
1965
WV
225X00000X
Occupational Therapist
5786
SC
225X00000X
Occupational Therapist
OT20778
FL
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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