| NPI | 1295277218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW LEE Physical Therapist/Owner 304-636-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WV PT002503) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2017-01-03 |