| NPI | 1669804530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES FREDERICK DODSON Physical Therapist/Owner 304-920-8415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |