Individual
MRS. KRYSTAL PAIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
82 AIRPORT BLVD APT F, MORGANTOWN, WV 26505-2988
(304) 290-0000
Mailing address
82 AIRPORT BLVD APT F, MORGANTOWN, WV 26505-2988
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
114322
TX
225X00000X
Occupational Therapist
Primary
1547
WV
225X00000X
Occupational Therapist
3163
MT
Other
Enumeration date
08/02/2011
Last updated
08/07/2014
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