Organization
GENERATIONS R.C., INC.
Active
Other names
Generations Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA LYNN TARR CFO (CFO)
(304) 743-4954
Entity
Organization
Contact information
Practice address
3705 TEAYS VALLEY ROAD, SUITE 100, HURRICANE, WV 25526
(304) 757-2500
(304) 757-2586
Mailing address
P.O. BOX 219, MILTON, WV 25541
(304) 743-4954
(304) 743-0291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1707207
BLUE CROSS BLUE SHIELD
WV
05
—
3810000-212
—
WV
Enumeration date
12/15/2006
Last updated
01/05/2015
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