| NPI | 1114146586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH EDWARD JARRELL Owner 304-395-3865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: WV 2005-1735) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |