Individual
BRANDON WALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
414 PENCO RD, WEIRTON, WV 26062-3822
(304) 723-3780
(304) 723-4110
Mailing address
414 PENCO RD, WEIRTON, WV 26062-3822
(304) 723-3780
(304) 723-4110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004545
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004545
BOARD OF PHYSICAL THERAPY LICENSE
WV
Enumeration date
08/10/2022
Last updated
08/10/2022
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