| NPI | 1285877241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRESSA YAVONNE EVANS President 304-235-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WV 2005-1726) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |