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Organization
EXCEL PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC
Active
Organization
EXCEL PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK EDWARD NICHOLS PT (PHYSICAL THERAPIST/OWNER)
(304) 881-5042
Entity
Organization
Contact information
Practice address
3540 TEAYS VALLEY RD, HURRICANE, WV 25526-9054
(304) 881-5042
(304) 562-7821
Mailing address
3540 TEAYS VALLEY RD, HURRICANE, WV 25526-9054
(304) 881-5042
(304) 562-7821
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
02111
WV
Other
Enumeration date
12/10/2013
Last updated
01/26/2016
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