Organization
GREENBRIER VALLEY PHYSICAL THERAPY, LLC
Active
Other names
MASTERWORKS PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA STREETER (VICE PRESIDENT)
(800) 699-9395
Entity
Organization
Contact information
Practice address
390 JOHN RAINE DR, RAINELLE, WV 25962-1462
(304) 438-9225
(304) 438-9226
Mailing address
PO BOX 932184, ATLANTA, GA 31193-4912
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9295191
MEDICARE PTAN
WV
Enumeration date
11/08/2013
Last updated
11/18/2023
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