Individual
ELIZABETH THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 RETAIL COMMONS PKWY STE 3, MARTINSBURG, WV 25403-6182
(681) 252-9250
Mailing address
834 NEW YORK AVE, MARTINSBURG, WV 25401-2126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004806
WV
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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