Individual
MARTHA HACKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 OAKHURST DR, CHARLESTON, WV 25314-2049
(304) 345-8101
(304) 345-7386
Mailing address
1015 OAKHURST DR, CHARLESTON, WV 25314-2049
(304) 345-8101
(304) 345-7386
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT000530
WV
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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