Mayflower LLC
Occupational Therapist in Cameron, WV. Organization (NPI-2).
NPI number1164046090
StatusActive
Last updated in NPPESJun 6, 2020
Details
- NPI
- 1164046090
- Entity type
- Organization (NPI-2)
- Legal business name
- Mayflower LLC
- Organization subpart
- No
- Enumeration date
- Jun 6, 2020
- Certification date
- Jun 6, 2020
- Last updated
- Jun 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
Other names
- Mayflowertherapy LLC (Doing Business As)
Practice location
202 Hidden Hollow LnCameron, WV 26033-1671
Phone 304-639-9818
Mailing address
202 Hidden Hollow LnCameron, WV 26033-1671
Phone 304-639-9818
Authorized official
Alyssa May-Pettit
Otrl Owner
3046399818
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