Individual
RESTONA MCDANIEL MCQUADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10434 SENECA TRL S, LEWISBURG, WV 24901-1586
(304) 645-1706
(304) 645-4085
Mailing address
185 HORROCK STATION RD, RENICK, WV 24966-3103
(304) 667-1660
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000696
WV
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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