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Organization
CAPITAL PHYSICAL THERAPY AND FITNESS LLC
Active
Organization
CAPITAL PHYSICAL THERAPY AND FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TAYLOR PT, DPT, CSCS, CLT (CEO, PT)
(304) 926-0913
Entity
Organization
Contact information
Practice address
4216 MACCORKLE AVE SE STE 4, CHARLESTON, WV 25304-2539
(304) 926-9091
(304) 926-0914
Mailing address
4216 MACCORKLE AVE SE STE 4, CHARLESTON, WV 25304-2539
(304) 926-0913
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/26/2019
Last updated
12/16/2019
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