NPI 1336477835
Children's Therapy Clinic INC
Practice location
- Address
- 113 Lakeview Dr, Charleston, WV 25313-1467
- Phone
- (304) 342-9515
- Fax
- (304) 342-9414
- Mailing address
- PO Box 2707, Charleston, WV 25330-2707
Authorised official
- Name
- Valicia Leary
- Title
- Executive Director
- Phone
- (304) 342-9515
Registered specialties
Voluntary or Charitable Agency
Primary
Registry record
- NPI
- 1336477835
- Entity type
- Organization
- NPI issued
- 23 Nov 2009
- Record last updated
- 23 Nov 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.