Organization
MIKE FURDA, LLC
Active
Other names
ELITE PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E FURDA PT (OWNER)
(740) 266-6855
Entity
Organization
Contact information
Practice address
426 CAROLINA AVE, CHESTER, WV 26034-1130
(740) 266-6855
(740) 275-4182
Mailing address
110 MAIN ST, WINTERSVILLE, OH 43953-3734
(740) 264-0661
(740) 264-4376
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT000804
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000804
PT LICENSE
WV
Enumeration date
10/24/2011
Last updated
10/24/2011
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