Individual
ALYSIA D HIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
179 STATION PL, HURRICANE, WV 25526-6578
(304) 760-6300
(304) 201-5123
Mailing address
179 STATION PL, HURRICANE, WV 25526-6578
(304) 760-6300
(304) 201-5123
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4179
WV
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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