Individual
STEPHEN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 CHAMPWOOD RIDGE CT, KEYSER, WV 26726-6870
(304) 685-7883
Mailing address
404 CHAMPWOOD RIDGE CT, KEYSER, WV 26726-6870
(304) 685-7883
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001879
WV
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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