Jenelle M Canterbury, DPT | |
438 23rd St, The Summit At Hidden Valley, Oak Hill, WV 25901-2830 | |
(304) 465-1452 | |
(304) 465-8094 |
Full Name | Jenelle M Canterbury |
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Gender | Female |
Speciality | Physical Therapist |
Location | 438 23rd St, Oak Hill, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205067675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT002471 (West Virginia) | Primary |
Provider Name | Powerback Rehabilitation Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1336858398 PECOS PAC ID: 2365359932 Enrollment ID: O20230426003181 |
Mailing Address | Practice Location Address |
---|---|
Jenelle M Canterbury, DPT 438 23rd St, The Summit At Hidden Valley, Oak Hill, WV 25901-2830 Ph: (304) 465-1452 | Jenelle M Canterbury, DPT 438 23rd St, The Summit At Hidden Valley, Oak Hill, WV 25901-2830 Ph: (304) 465-1452 |
Brayden R Glenn, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 436 Central Ave, Oak Hill, WV 25901 Phone: 304-465-3654 | |
Ashley Brooke Poland, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 436 Central Ave, Oak Hill, WV 25901 Phone: 304-465-3654 Fax: 304-465-8551 | |
Ann Casey Gioeli, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 436 Central Ave, Oak Hill, WV 25901 Phone: 304-465-3654 Fax: 304-465-8551 | |
Winston Caleb O'neal, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 436 Central Ave, Oak Hill, WV 25901 Phone: 304-465-3654 | |
Mr. William Charles Reilley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 436 Central Ave, Oak Hill, WV 25901 Phone: 304-465-3654 Fax: 304-465-8551 | |
Lindsey Erin Gentry, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 422 23rd St, Oak Hill, WV 25901 Phone: 304-465-1903 Fax: 304-465-3568 |