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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELI SAMUEL NOLASCO

Active Sole Proprietor

ELI SAMUEL NOLASCO is a Occupational Therapy Assistant healthcare provider located in SHEPHERDSTOWN, West Virginia. NPI 1063174670 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · SHEPHERDSTOWN, WV

Registration Details

NPI Number
1063174670
Provider Type
Individual
Gender
Male
NPI Issued
Oct 11, 2021 (4.8467249762653 yrs)
Last Updated
Oct 11, 2021
License
C2395 (WV)
Sole Proprietor
Yes

Practice Information

Address
80 MADDEX DR
SHEPHERDSTOWN, WV, 254434305
Browse WV providers · Browse ZIP 25443
Phone
3048769422
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in SHEPHERDSTOWN, WV

Name Credential NPI
NATHANAEL RANCK COTA/L 1154857449
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.