MEGAN BROOKE PETHTEL

FAIRMONT, WV
NPI1861774127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  WV1573)
Enumeration Date2011-09-13
Last Update Date2011-10-06
Business Address
-- MEGAN BROOKE PETHTEL PTA
1228 COUNTRY CLUB ROAD, #15
FAIRMONT, WV 26554-2369
Phone number: 304-366-0461
Mailing Address
-- MEGAN BROOKE PETHTEL PTA
943 MAPLE DR
MORGANTOWN, WV 26505-2812
Phone number: 304-599-2515