Individual
KIM OLIVER VISPERAS ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3948 TEAYS VALLEY RD STE 1320, HURRICANE, WV 25526-8728
(304) 757-1764
Mailing address
400 ASSOCIATION DR STE 102, CHARLESTON, WV 25311-1298
(304) 388-0015
(304) 388-0019
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
003616
WV
225100000X
Physical Therapist
Primary
PT003616
WV
Other
Enumeration date
05/18/2016
Last updated
08/28/2023
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