LARRY EUGENE SMITH

KENOVA, WV
NPI1215171475
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  PTA #1451)
Enumeration Date2009-04-30
Last Update Date2009-04-30
Business Address
Mr. LARRY EUGENE SMITH
1612 OAK ST
KENOVA, WV 25530-1118
Phone number: 304-544-1097
Mailing Address
Mr. LARRY EUGENE SMITH
1612 OAK ST
KENOVA, WV 25530-1118
Phone number: 304-544-1097
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