Justin Tate, COTA/L

NPI 1588529408 · on the registry since 2025

Practice

Address: 1390 N Poplar Fork Rd
Hurricane, WV 25526
Phone: (304) 757-7826
Organisation at this address: Teays Valley Center Opco, Llc
Visavis Health Care Medical Group Of Wv Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: WV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-12-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia