IndividualActive
Kiley Defibaugh, OTR/L
NPI 1750921987 · Physical Rehabilitation Occupational Therapist · Charleston, WV
Provider details
- NPI number
- 1750921987
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1894 (WV)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4906 Boxwood Dr
Charleston, WV 25306-6302
Phone: (304) 830-1064
Approximate (ZIP-level) locationGet directions
Mailing address
4906 Boxwood Dr
Charleston, WV 25306-6302
Registry dates
- Enumerated
- 2020-01-15
- Last updated
- 2020-01-15
- Certified
- 2020-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.