LARRY NICKOLAS FERGUSON

HURRICANE, WV
NPI1093183956
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  002142)
Enumeration Date2015-09-09
Last Update Date2015-09-09
Business Address
-- LARRY NICKOLAS FERGUSON PTA
300 SEVILLE RD
HURRICANE, WV 25526-9206
Phone number: 304-757-6805
Mailing Address
-- LARRY NICKOLAS FERGUSON PTA
300 SEVILLE RD
HURRICANE, WV 25526-9206
Phone number: 304-757-6805
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