| NPI | 1134124647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY E PRAGER CEO/President 304-242-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine (Licence: WV 13871) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2017-03-08 |