Individual
MARJORIE ANN SIMBULAN VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1297
(304) 388-4233
Mailing address
400 ASSOCIATION DR STE 102, CHARLESTON, WV 25311-1298
(304) 388-0015
(304) 388-0019
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
003967
WV
225100000X
Physical Therapist
Primary
PT003967
WV
Other
Enumeration date
03/13/2023
Last updated
01/31/2024
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