Organization
MOUNTAIN RIVER PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA ROGERS (CHIEF FINANCIAL OFFICER)
(304) 865-6778
Entity
Organization
Contact information
Practice address
606 WASHINGTON ST STE 1, RAVENSWOOD, WV 26164-1730
(304) 917-3660
(304) 917-3674
Mailing address
415 36TH ST STE 100, PARKERSBURG, WV 26101-1005
(304) 917-3660
(304) 917-3674
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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