| NPI | 1043676711 |
|---|---|
| Doing Business As | LAKESIDE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | PAUL CALVERT Owner 304-777-3356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2021-09-30 |