Individual
TIARA GERKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 BAKERS RIDGE RD, MORGANTOWN, WV 26508-1459
(304) 285-0692
Mailing address
506 VICTOR ST, GRAFTON, WV 26354-1640
(304) 612-6183
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001785
WV
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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