Provider Demographics
NPI:1912699315
Name:MCNEEL, ABIGAIL ALIDA
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ALIDA
Last Name:MCNEEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8942 SENECA TRL S
Mailing Address - Street 2:
Mailing Address - City:RONCEVERTE
Mailing Address - State:WV
Mailing Address - Zip Code:24970-8374
Mailing Address - Country:US
Mailing Address - Phone:304-645-7474
Mailing Address - Fax:
Practice Address - Street 1:8942 SENECA TRL S
Practice Address - Street 2:
Practice Address - City:RONCEVERTE
Practice Address - State:WV
Practice Address - Zip Code:24970-8374
Practice Address - Country:US
Practice Address - Phone:304-645-7474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1615225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist