BROCK DANIEL ATHEY

MORGANTOWN, WV
NPI1679128169
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: PA  030519)
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2019-08-02
Last Update Date2022-08-11
Business Address
BROCK DANIEL ATHEY
6 EDWIN ST
MORGANTOWN, WV 26501-8505
Phone number: 304-292-0173
Mailing Address
BROCK DANIEL ATHEY
875 WILLOWDALE RD
MORGANTOWN, WV 26505-7311
Phone number: 717-713-1049