| NPI | 1205302452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENELLE BOTJE Doctor Of Physical Therapy 304-942-1726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-15 |