| NPI | 1346434867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J DAVID LYNCH CEO 304-983-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WV WV16960) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT002617) |
| 225200000X Physical Therapy Assistant (Licence: WV PTA001299) | |
| 225700000X Massage Therapist (Licence: WV 1999 0357) | |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2016-01-27 |