Individual
RALPH M SUTPHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
152 SADDLE SHOP RD, HILLTOP, WV 25855
(304) 469-2966
Mailing address
558 PEMBERTON RD, CRAB ORCHARD, WV 25827
(304) 763-1757
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001378
WV
Other
Enumeration date
05/21/2021
Last updated
05/24/2021
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