Individual
DYLAN STANSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1212 GARFIELD AVE STE 200, PARKERSBURG, WV 26101-3247
(304) 865-6778
Mailing address
415 36TH ST STE 100, PARKERSBURG, WV 26101-1005
(304) 917-3660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004443
WV
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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