Individual
MRS. ANGELA DIANE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PT
Contact information
Practice address
1000 ASSOCIATION DR, CHARLESTON, WV 25311-1270
(304) 347-4372
Mailing address
7 ALBA DR, WINFIELD, WV 25213-9678
(304) 586-2444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001625
WV
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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