| NPI | 1174894026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA BRADFORD GANDEE Owner/Manager/Therapist 304-615-7576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WV 2160) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-02-09 |