Organization
BOLIVAR-HARPERS FERRY PHYSICAL THERAPY
Active
Organization
BOLIVAR-HARPERS FERRY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI SIMMONS MSPT (PHYSICAL THERAPIST, OWNER)
(304) 535-2400
Entity
Organization
Contact information
Practice address
43 PANAMA ST, HARPERS FERRY, WV 25425
(304) 535-2400
(304) 535-2424
Mailing address
PO BOX 902, HARPERS FERRY, WV 25425-0902
(304) 535-2400
(304) 535-2424
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
001785
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006035
—
WV
01
—
DD7208
PALMETTO MEDICARE RAILROA
WV
Enumeration date
06/23/2006
Last updated
11/13/2012
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