| NPI | 1578828844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN R SALAZAR Physical Therapy 304-562-2823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WV 99UEU) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |