Organization
WV THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY ALAN HAYES PTA (MANAGING MEMBER)
(304) 842-9887
Entity
Organization
Contact information
Practice address
306 W MAIN ST, BRIDGEPORT, WV 26330-1751
(304) 842-9887
(304) 842-9888
Mailing address
415 BENEDUM DR, BRIDGEPORT, WV 26330-1503
(304) 842-9887
(304) 842-9888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0420593001
WV
Other
Enumeration date
11/05/2007
Last updated
03/25/2009
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