| NPI | 1831147297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK ALAN FALKENSTEIN Physical Therapist/Owner 304-363-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 1189) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2008-07-10 |