Organization
WEST VIRGINIA PHYSICAL THERAPY SERVICES OF CHARLESTON, LLC
Active
Other names
West Virginia Physical Therapy Services of Charleston
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
800 ASSOCIATION DR, CHARLESTON, WV 25311-1272
(304) 721-4669
(304) 721-4670
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/27/2019
Last updated
07/22/2024
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