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Organization
PROFESSIONAL MEDICAL REHABILITATION INC.
Active
Organization
PROFESSIONAL MEDICAL REHABILITATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J DAVID LYNCH JR. M.D. (CEO)
(304) 983-7766
Entity
Organization
Contact information
Practice address
460 MYLAN PARK LN, MORGANTOWN, WV 26501-2281
(304) 983-7766
(304) 983-7768
Mailing address
460 MYLAN PARK LN, MORGANTOWN, WV 26501-2281
(304) 983-7766
(304) 983-7768
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
WV16960
WV
225100000X
Physical Therapist
PT002617
WV
225200000X
Physical Therapy Assistant
PTA001299
WV
225700000X
Massage Therapist
1999 0357
WV
Other
Enumeration date
08/28/2007
Last updated
01/27/2016
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