Organization
GASSAWAY GLENVILLE PHYSICAL THERAPY SPECIALISTS
Active
Organization
GASSAWAY GLENVILLE PHYSICAL THERAPY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CHARLES BORING PT (OWNER)
(304) 364-9191
Entity
Organization
Contact information
Practice address
155 RESTON PL, GASSAWAY, WV 26624-9356
(304) 364-9191
Mailing address
155 RESTON PL, GASSAWAY, WV 26624-9356
(304) 364-9191
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
WV
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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