Kiley Rose Defibaugh, OTR/L

NPI #1750921987 in Charleston, West Virginia

Provider Information

NPI Number: 1750921987
Entity Type: Individual
Name: Kiley Rose Defibaugh, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist - Physical Rehabilitation
Credential: OTR/L
Enumeration Date: Jan 15, 2020
Last Updated: Jan 15, 2020

Practice Location

Address: 4906 BOXWOOD DR
City: Charleston
State: West Virginia
ZIP Code: 25306-6302
Phone: (304) 830-1064

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist - Physical Rehabilitation — Physical Rehabilitation	225XP0019X	Primary

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