Individual
MRS. MARY ELIZABETH BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
825 SUMMIT ST, SPENCER, WV 25276-1035
(304) 927-1007
Mailing address
600 BEAR HOLLOW, GASSAWAY, WV 26624
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1446
WV
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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