Individual
KELLY B DLUGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1900 LOCUST AVE STE A, FAIRMONT, WV 26554-1239
(304) 333-5222
(304) 333-5224
Mailing address
1900 LOCUST AVE STE A, FAIRMONT, WV 26554-1239
(304) 333-5222
(304) 333-5224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001311
WV
225100000X
Physical Therapist
PT017424
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015733000
—
WV
Enumeration date
06/12/2006
Last updated
08/05/2008
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