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

CAROL DESLAURIERS, PTA

Active Sole Proprietor

CAROL DESLAURIERS, PTA is a Occupational Therapist healthcare provider located in CAPON BRIDGE, West Virginia. NPI 1174988893 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · CAPON BRIDGE, WV

Registration Details

NPI Number
1174988893
Provider Type
Individual
Gender
Female
NPI Issued
Dec 22, 2015 (10.61988471183 yrs)
Last Updated
Dec 22, 2015
License
2306604258 (VA)
Sole Proprietor
Yes

Practice Information

Address
201 COOPERS RUN RD
CAPON BRIDGE, WV, 267119538
Browse WV providers · Browse ZIP 26711
Phone
5405329124
Primary Specialty
Occupational Therapist
225200000X
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.