Individual
MARISSA DEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6007 US ROUTE 60 E STE 304, BARBOURSVILLE, WV 25504-1045
(304) 525-0794
(304) 529-7449
Mailing address
2240 5TH AVE, HUNTINGTON, WV 25703-1239
(304) 525-4445
(304) 529-7449
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002518
WV
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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