Individual
BREANNE SHRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, CFO
Contact information
Practice address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
(304) 599-2515
Mailing address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CFO04481
WV
225200000X
Physical Therapy Assistant
PTA002315
WV
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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