Gassaway Glenville Physical Therapy Specialits, Inc

NPI 1447350228 - Specialist - 174400000X

NPI Details
NPI 1447350228
Enumeration Date 09/22/2006
Last Updated 09/29/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KEVIN CHARLES KEVIN
Position OWNER/PRESIDENT
Phone (304) 364-9191
Fax (304) 364-9193
Practice Location
155 RESTON PLACE
GASSAWAY WV, 26624, US
Phone (304) 364-9191
Fax (304) 364-9193
Business Location
155 RESTON PLACE
GASSAWAY WV, 26624, US
Phone (304) 364-9191
Fax (304) 647-3990
Toxanomy
Taxonomy Code 174400000X
License State West Virginia
License Number 001248
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According to our database, Gassaway Glenville Physical Therapy Specialits, Inc NPI is 1447350228, taxonomy code is 174400000X and license number is 001248, license state is located at West Virginia. Gassaway Glenville Physical Therapy Specialits, Inc physically located at 155 Reston Place, Gassaway WV, 26624. NPI Number 1033115704 has the healthcare provider type.

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1447350228 NPI number is provided on an as is basis without warranty of any kind. 1447350228 is maintained by the National Plan & Provider Enumeration System. The contents of Gassaway Glenville Physical Therapy Specialits, Inc are for informational purposes only.