| NPI | 1750826988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI KAY GOOD President/Owner 304-276-8301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: WV 02145) |
| Enumeration Date | 2016-12-26 |
| Last Update Date | 2016-12-26 |