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4914 Potomac Highlands Trail, Greenbank, WV 24944 | |
(681) 206-7107 | |
(681) 206-7108 |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist |
Location | 4914 Potomac Highlands Trail, Greenbank, West Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1104476001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 932184, Atlanta, GA 31193-4912 Ph: () - | 4914 Potomac Highlands Trail, Greenbank, WV 24944 Ph: (681) 206-7107 |