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Contact Information

THE DEVELOPMENTAL ADVANTAGE, LLC
12 KILLEN HOLLOW DR
CROSS LANES, WV25313-3516
 Phone: 304-881-2585
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for THE DEVELOPMENTAL ADVANTAGE LLC · (Female)

NPI Number 1376919241
Status Active
Credentials
Entity Individual
Enumeration date 08/14/2015
Last updated 08/17/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV License # 1125
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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