Organization
SUMMIT PHYSICAL THERAPY INCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MASCIO PT (PRESIDENT)
(304) 723-3780
Entity
Organization
Contact information
Practice address
118 CAROLINA AVE, CHESTER, WV 26034-1111
(304) 723-3780
(304) 723-4110
Mailing address
414 PENCO RD, WEIRTON, WV 26062-3822
(304) 723-3780
(304) 723-4110
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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