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Individual

ADAM T WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
33 WALNUT ST, SHINNSTON, WV 26431-1154
(304) 592-5042
(304) 592-5043
Mailing address
719 FAIRMONT AVE, SUITE 102, FAIRMONT, WV 26554-5118
(304) 363-8543
(304) 363-0173

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002347
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00342703
RAILROAD MEDICARE
Enumeration date
06/02/2006
Last updated
11/28/2007
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