IndividualActive
Candace Lusk, COTA
NPI 1003932914 · Occupational Therapy Assistant · Logan, WV
Provider details
- NPI number
- 1003932914
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- 1381 (WV)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
Rt 10 Three Mile Curve Rd
Logan, WV 25601
Phone: (304) 752-2273
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 211
Kopperston, WV 24854-0211
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.