Individual
MRS. THERESA LANG PALKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7 JUNIOR AVE, WHEELING, WV 26003-5234
(304) 780-4401
Mailing address
3050 GUERNSEY ST STE B, BELLAIRE, OH 43906-1540
(740) 325-1120
(740) 325-1743
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008131
OH
Other
Enumeration date
12/06/2012
Last updated
05/26/2021
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