Provider Demographics
NPI:1457544736
Name:DOOLEY, LIGEIA MAE (OTR)
Entity type:Individual
Prefix:MRS
First Name:LIGEIA
Middle Name:MAE
Last Name:DOOLEY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSON
Mailing Address - State:WV
Mailing Address - Zip Code:25661-3948
Mailing Address - Country:US
Mailing Address - Phone:304-235-7005
Mailing Address - Fax:304-235-0677
Practice Address - Street 1:100 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSON
Practice Address - State:WV
Practice Address - Zip Code:25661-3948
Practice Address - Country:US
Practice Address - Phone:304-235-7005
Practice Address - Fax:304-235-0677
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1063225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist