Individual
BRANDON ROBERT SHREVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
161 BAKERS RIDGE RD, MORGANTOWN, WV 26508-1459
(304) 285-0692
Mailing address
300 BEECHURST AVE APT 309, MORGANTOWN, WV 26505-5794
(304) 639-5856
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001782
WV
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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