Organization
CORRIDOR H PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY STOUT (OWNER)
(304) 439-0777
Entity
Organization
Contact information
Practice address
4 RIGHT SAW MILL RD, HORNER, WV 26372-9743
(304) 997-4041
Mailing address
PO BOX 34, HORNER, WV 26372-0034
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
04/24/2025
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