Individual
VIRGINIA MOZINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1114 RIDGE AVE, NEW CUMBERLAND, WV 26047-9537
(304) 564-1098
(304) 564-5020
Mailing address
414 PENCO ROAD, WEIRTON, WV 26062
(304) 723-3780
(304) 723-4110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001539
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014417000
—
WV
01
—
55071930000
WV WORKERS COMP BRICKSTRE
WV
01
—
55071930003
THE HEALTH PLAN BWC
WV
Enumeration date
10/26/2006
Last updated
03/27/2008
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