Individual
SHIRLEY VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506
(304) 598-4118
Mailing address
PO BOX 219, SMITHFIELD, PA 15478-0219
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
36
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810005864
—
WV
Enumeration date
11/08/2006
Last updated
07/08/2007
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