| |
106 W. Main Street, Sophia, WV 25921 | |
(304) 683-6123 | |
(304) 683-6127 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 106 W. Main Street, Sophia, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558590166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1197 (West Virginia) | Primary |
Provider Name | Elaine R Vonscio |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376863472 PECOS PAC ID: 3577694314 Enrollment ID: I20100623000453 |
Provider Name | Dee-dee Daniel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285785451 PECOS PAC ID: 0446448815 Enrollment ID: I20101229000635 |
Mailing Address | Practice Location Address |
---|---|
Po Box 580, Sophia, WV 25921-0580 Ph: (304) 683-6123 | 106 W. Main Street, Sophia, WV 25921 Ph: (304) 683-6123 |
Ms. Elaine R. Vonscio, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 106 W. Main St., Sophia, WV 25921 Phone: 304-683-6123 Fax: 304-683-6127 |