Organization
CAPITAL PHYSICAL THERAPY AND FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TAYLOR PT, DPT, CSCS, CLT (CEO, PT)
(304) 926-0913
Entity
Organization
Contact information
Practice address
4216 MACCORKLE AVE SE STE 4, CHARLESTON, WV 25304-2539
(304) 926-9091
(304) 926-0914
Mailing address
4216 MACCORKLE AVE SE STE 4, CHARLESTON, WV 25304-2539
(304) 926-0913
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/26/2019
Last updated
12/16/2019
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