Individual
GINGER MCCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1077 BUFFALO CRK, WEST HAMLIN, WV 25571-7660
(304) 526-2075
Mailing address
1077 BUFFALO CRK, WEST HAMLIN, WV 25571-7660
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002723
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3045440153
—
WV
Enumeration date
06/09/2022
Last updated
06/09/2022
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