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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

NPI Number 1376919241
LBN Legal business name THE DEVELOPMENTAL ADVANTAGE, LLC
Authorized official CATHY HIGGINS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/14/2015
Last updated 08/17/2015 - About 11 years ago
Identifiers
WV License # 1125
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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