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Individual

MISTY HOUSEHOLDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
23 FITNESS LN, BERKELEY SPRINGS, WV 25411-7080
(304) 258-1300
(304) 258-1400
Mailing address
23 FITNESS LN, BERKELEY SPRINGS, WV 25411-7080
(304) 258-1300
(304) 258-1400

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305209011
VA
225100000X
Physical Therapist
Primary
PT 003391
WV

Other

Enumeration date
11/04/2015
Last updated
11/04/2015
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