CHILDREN'S THERAPY CLINIC INC NPI 1336477835

NPI Information

CHILDREN'S THERAPY CLINIC INC is a voluntary or charitable in Charleston, WV. CHILDREN'S THERAPY CLINIC INC NPI is 1336477835. The provider is registered as an organization entity type.

The provider's business location address is:

113 LAKEVIEW DR
CHARLESTON, WV
ZIP 25313-467
Phone: (304) 342-9515
Fax: (304) 342-9414

The provider's authorized official is Valicia Leary .
The authorized official title is Executive Director and has the following contact phone number (304) 342-9515.

The enumeration date for this NPI number is 11/23/2009 and was last updated on 11/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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