Individual
BARRY C STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
122 PINNELL ST, RIPLEY, WV 25271-9101
(304) 373-1605
(304) 372-8114
Mailing address
122 PINNELL ST, RIPLEY, WV 25271-9101
(304) 373-1605
(304) 372-8114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002693
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55-0462730
FACILITY TAX ID
WV
Enumeration date
09/10/2013
Last updated
09/10/2013
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