| NPI | 1457432296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L RANKIN Business Manager/Owner 304-267-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 028075) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2012-11-08 |