Individual
MRS. SUSAN KOPLIN OVERMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
800 ASSOCIATION DR, NORTHGATE BUSINESS PARK, CHARLESTON, WV 25311-1272
(304) 343-6600
Mailing address
306 PINE CREST LN, RIPLEY, WV 25271-1631
(304) 237-1565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 001269
WV
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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