Individual
ANTHONY ROARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
Mailing address
155 HUTTONS VIREO DR, MARTINSBURG, WV 25405-3923
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2501
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7404027000
—
WV
Enumeration date
04/25/2008
Last updated
03/03/2025
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