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Individual

MELONIE HAZELWOOD SARVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
400 NEVILLE ST, BECKLEY, WV 25801-4511
(304) 256-4712
Mailing address
176 LEAH DR, PRINCETON, WV 24739-9099
(304) 887-5461

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1164
WV
225XP0200X
Pediatric Occupational Therapist
1164
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1962673442
WV
05
3810003505
WV
Enumeration date
03/12/2008
Last updated
11/01/2024
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