Individual
TRACY MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1127 ANDREW DR, MORGANTOWN, WV 26508-6842
(304) 794-6131
Mailing address
1127 ANDREW DR, MORGANTOWN, WV 26508-6842
(304) 794-6131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001886
WV
Other
Enumeration date
09/10/2013
Last updated
09/11/2013
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