Individual
MS. CAROLYN ELAINE SANDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2195 CHEAT RD., SUITE 1, MORGANTOWN, WV 26508
(304) 594-2500
(304) 594-9310
Mailing address
2195 CHEAT RD., SUITE 1, MORGANTOWN, WV 26508
(304) 594-2500
(304) 594-9310
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2255
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7302130000
—
WV
Enumeration date
09/06/2006
Last updated
07/08/2007
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