EMILY DEHAVEN

INWOOD, WV
NPI1386303808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  PTA002126)
Enumeration Date2021-12-13
Last Update Date2021-12-13
Business Address
EMILY DEHAVEN PTA
8543 WINCHESTER AVE
INWOOD, WV 25428-4022
Phone number: 304-229-1010
Mailing Address
EMILY DEHAVEN PTA
8543 WINCHESTER AVE
INWOOD, WV 25428-4022
Phone number: 304-229-1010
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