Individual
CHRISTEL PERVOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 STATE ST, BRIDGEPORT, WV 26330-1375
(304) 933-3073
(304) 933-3187
Mailing address
141 STATE ST, BRIDGEPORT, WV 26330-1375
(304) 933-3073
(304) 933-3187
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1297
WV
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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