| NPI | 1922245711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON D BROOKS Physical Therapist 304-253-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV PT002068) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2010-09-29 |