| NPI | 1659365724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TODD TRAVIS President Physical Therapist 304-782-1052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WV 987) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2010-09-28 |