NPI 1184792087

Jackie Leonard, COTA

Practitioner Occupational Therapy Assistant Morgantown, WV

Practice location

Address: 1 Medical Center Drive, Morgantown, WV 26506
Phone: (304) 598-4118
Mailing address: 477 Tyrone Avery Rd, Morgantown, WV 26508-4198

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence C1448 (WV)

Other Occupational Therapy Assistant providers in West Virginia →

Registry record

NPI: 1184792087
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Dec 2006
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.