MRS. Diane Marie Craddock, COTA/L
NPI #1063003531 in Glenville, West Virginia
Provider Information
- NPI Number
- 1063003531
- Entity Type
- Individual
- Name
- MRS. Diane Marie Craddock, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Jan 28, 2021
- Last Updated
- Jan 28, 2021
Practice Location
- Address
- 111 FAIRGROUND RD
- City
- Glenville
- State
- West Virginia
- ZIP Code
- 26351-1388
- Phone
- (304) 462-5718
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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