NPI 1003932914
Candace Leigh Lusk, COTA
Practice location
- Address
- Rt 10 Three Mile Curve Rd, Logan, WV 25601
- Phone
- (304) 752-2273
- Mailing address
- PO Box 211, Kopperston, WV 24854-0211
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1003932914
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Mar 2007
- Record last updated
- 8 Jul 2007
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.