Individual
CHAD ANTHONY KUCHERAWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
200 S RITCHIE AVE, RAVENSWOOD, WV 26164-1721
(304) 273-9385
Mailing address
803 CHARLESTON RD, SPENCER, WV 25276-9289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001383
WV
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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