Individual
DAVID A BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
314 GOFF MOUNTAIN RD, SUITE 13, CROSS LANES, WV 25313-6602
(304) 776-5031
(304) 204-6332
Mailing address
314 GOFF MOUNTAIN RD, SUITE 13, CROSS LANES, WV 25313-6602
(304) 776-5031
(304) 204-6332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002137
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721594
MOUNTIAN STATE BC/BS
WV
05
—
7301063000
—
WV
Enumeration date
09/12/2006
Last updated
08/17/2011
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