Individual
ALICIA MARIE WHITEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
230 HOSPITAL PLZ, WESTON, WV 26452-8558
(304) 269-8097
Mailing address
RR 2 BOX 127E, BRIDGEPORT, WV 26330-9734
(304) 592-3761
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001321
WV
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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