Individual
MRS. MICKI LYNN TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
825 SUMMIT ST, SPENCER, WV 25276-1035
(304) 927-1007
Mailing address
2509 GIHON RD, PARKERSBURG, WV 26101-7112
(304) 615-6335
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001877
WV
Other
Enumeration date
09/22/2013
Last updated
09/22/2013
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