NPI 1235900903

Jessica Krueger, COTAL

Practitioner Occupational Therapy Assistant South Charleston, WV

Practice location

Address: 4825 Maccorkle Ave SW, South Charleston, WV 25309-1365
Phone: (304) 346-9667
Mailing address: 5524 E Via Montoya Dr, Phoenix, AZ 85054-7147

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence C2473 (WV)

Other Occupational Therapy Assistant providers in West Virginia →

Registry record

NPI: 1235900903
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jan 2024
Record last updated: 11 Jan 2024

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.