Individual
IAN HONAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 GUADALCANAL AVE, BECKLEY, WV 25801-8060
(304) 228-7620
Mailing address
202 GUADALCANAL AVE, BECKLEY, WV 25801-8060
(304) 228-7620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
21030312600
WV
Other
Enumeration date
04/15/2016
Last updated
11/12/2021
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