NPI 1477862647

Brandon Dickson

Practitioner Occupational Therapy Assistant Hurricane, WV

Practice location

Address: 509 Poplar Fork Road, Hurricane, WV 25526
Phone: (304) 757-7826
Mailing address: 181 Fountain Pl, Huntington, WV 25701-5203

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence C1762 (WV)

Other Occupational Therapy Assistant providers in West Virginia →

Registry record

NPI: 1477862647
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2010
Record last updated: 5 Oct 2010

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.