Individual
LORI LEIGH LAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1769 ROBERT C BYRD DR, BECKLEY, WV 25801-8707
(304) 860-1048
(304) 860-1049
Mailing address
1769 ROBERT C BYRD DR, BECKLEY, WV 25801-8707
(304) 860-1048
(304) 860-1049
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
C1825
WV
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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