| NPI | 1770792509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER RIDER Physical Therapist 304-366-8456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: WV 002156) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |