NPI 1043972581
Jessica Pauline, COTAL
Practice location
- Address
- 1000 Lincoln Dr, South Charleston, WV 25309-2304
- Phone
- (304) 768-4400
- Mailing address
- 113 Glover St, Portsmouth, OH 45662-4627
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1043972581
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Oct 2021
- Record last updated
- 12 Oct 2021
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.