| NPI | 1710023734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P. RICHARDS Owner 304-965-7051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: WV 1129) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 1129) |
| 208100000X Physical Medicine & Rehabilitation (Licence: WV 1129) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-04-20 |