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BREANNE MARIE LIGHTNER COTA/L

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1558594481

Individual Registrant:
 BREANNE MARIE LIGHTNER COTA/L
Gender: F
Not Sole Proprietor

Location and contact information for practice:
201 WOOD ST  SISTERSVILLE, WV 26175-1523 US
Tel: 304-652-1032  Fax: --

Contact information for business:
201 WOOD ST  SISTERSVILLE, WV 26175-1523 US
Tel: 304-652-1032  Fax: --

Registration Information:
NPI: 1558594481
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
WVC1469

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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