# PROFESSIONAL MEDICAL REHABILITATION INC.

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

## Provider details

- **NPI number:** 1346434867
- **Authorized official:** DR. J DAVID LYNCH JR. M.D. (CEO)
- **Authorized official phone:** (304) 983-7766

## Contact information

- **Practice address:** 460 MYLAN PARK LN, MORGANTOWN, WV 26501-2281
- **Practice address phone:** (304) 983-7766
- **Practice address fax:** (304) 983-7768
- **Mailing address:** 460 MYLAN PARK LN, MORGANTOWN, WV 26501-2281
- **Mailing address phone:** (304) 983-7766
- **Mailing address fax:** (304) 983-7768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | WV16960 | WV | Yes |
| 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