Individual
JOHN DELA VEGA SORETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
800 ASSOCIATION DR, CHARLESTON, WV 25311-1272
(304) 343-6600
Mailing address
156 CASTLEKNOCK RD, WINFIELD, WV 25213-1117
(304) 751-5458
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002818
—
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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