Individual
ZARA GROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT DPT
Contact information
Practice address
74 HOSANNA WAY, WINFIELD, WV 25213-1106
(304) 673-5199
Mailing address
74 HOSANNA WAY, WINFIELD, WV 25213-1106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003504
WV
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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