Individual
MR. DEREK ALAN FALKENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1509 FAIRMONT AVENUE, FAIRMONT, WV 26554-1346
(304) 363-0050
(304) 363-0048
Mailing address
1509 FAIRMONT AVENUE, FAIRMONT, WV 26554
(304) 363-0050
(304) 363-0048
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1189
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810005585
—
WV
Enumeration date
05/06/2006
Last updated
07/10/2008
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