| NPI | 1497700918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN WALTON MCNEW Business Manager 304-329-3739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 013138) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2012-11-27 |