Individual
KEVIN MUSSELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
150 MEMORIAL DR, KINGWOOD, WV 26537-1141
(304) 329-3908
Mailing address
150 MEMORIAL DR, KINGWOOD, WV 26537-1141
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002311
WV
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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