# CORRIDOR H PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326849365
- **Authorized official:** JERRY STOUT (OWNER)
- **Authorized official phone:** (304) 439-0777

## Contact information

- **Practice address:** 4 RIGHT SAW MILL RD, HORNER, WV 26372-9743
- **Practice address phone:** (304) 997-4041
- **Mailing address:** PO BOX 34, HORNER, WV 26372-0034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/24/2025
- **Last updated:** 04/24/2025