| NPI | 1558371328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGEANN MARIE BLANKENSHIP Co. Owner 304-645-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 71364) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |