| NPI | 1538236104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI J COLEMAN Office Manager 304-720-9185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 1571) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2017-05-02 |