Individual
JAMES CHRISTOPHER WISVARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
225 RUSSELL AVE, NEW MARTINSVILLE, WV 26155-1572
(304) 455-2600
Mailing address
225 RUSSELL AVE, NEW MARTINSVILLE, WV 26155-1572
(304) 455-2600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001962
WV
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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