Individual
MS. BETHANY GRACE COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
13857 APPLE HARVEST DR, MARTINSBURG, WV 25403-6199
(304) 596-8878
Mailing address
992 HALLOWS WAY, GERRARDSTOWN, WV 25420-4382
(304) 886-5302
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002867
WV
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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