Individual
ERICA JO WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3198 MIDLAND TRL, ONA, WV 25545-9507
(304) 733-9430
Mailing address
188 MEADOWS LN, GREENUP, KY 41144-6776
(606) 922-7371
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1668
WV
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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