| NPI | 1871706259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP CRAIG COOKE Owner 304-598-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WV 000986) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-03-19 |