| NPI | 1831651157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY MILLER Credentialing Coordinator 304-258-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |