| NPI | 1720538200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA ROGERS Vice President Of Operations 304-917-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2017-01-16 |