| |
426 Carolina Ave, Chester, WV 26034-1130 | |
(740) 266-6855 | |
(740) 275-4182 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 426 Carolina Ave, Chester, West Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144506098 | NPI | - | NPPES |
000804 | Other | WV | PT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT000804 (West Virginia) | Primary |
Mailing Address | Practice Location Address |
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110 Main St, Wintersville, OH 43953-3734 Ph: (740) 264-0661 | 426 Carolina Ave, Chester, WV 26034-1130 Ph: (740) 266-6855 |