| NPI | 1437580834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EDWARD NICHOLS Physical Therapist/Owner 304-881-5042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: WV 02111) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2016-01-26 |