Organization
QUALITY PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK K VAUGHAN PT (SOLE MEMBER)
(304) 545-2152
Entity
Organization
Contact information
Practice address
3875 ROBERT C BYRD DR, BECKLEY, WV 25801-2964
(304) 545-2152
(866) 262-4450
Mailing address
510 N OAKWOOD AVE, BECKLEY, WV 25801-4461
(304) 545-2152
(866) 262-4450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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