Provider Demographics
NPI:1548559040
Name:DEVEREAUX, APRIL MARIA (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:MARIA
Last Name:DEVEREAUX
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:MARIE
Other - Last Name:DEVEREAUX
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COTA/L
Mailing Address - Street 1:124 OAKDALE ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOPE
Mailing Address - State:WV
Mailing Address - Zip Code:25880-9219
Mailing Address - Country:US
Mailing Address - Phone:240-727-1808
Mailing Address - Fax:
Practice Address - Street 1:124 OAKDALE ST
Practice Address - Street 2:
Practice Address - City:MOUNT HOPE
Practice Address - State:WV
Practice Address - Zip Code:25880-9219
Practice Address - Country:US
Practice Address - Phone:240-727-1808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVC1788224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant