NPI | 1205388295 |
---|---|
Doing Business As | MAPLESHIRE OUTPATIENT THERAPY CENTER |
Entity Type | Organization |
Authorized Contact | LAWRENCE A PACK Manager 304-343-1950 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2016-10-26 |
Last Update Date | 2021-01-12 |