Individual
MR. THEODORE DHINAGARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1710 HARPER RD, BECKLEY, WV 25801-3397
(681) 368-1474
Mailing address
508 NORTHWESTERN AVE, BECKLEY, WV 25801-3232
(681) 368-1474
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003998
WV
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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