Individual
MISHELLE BUGTAI CUBCUBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
298 TRICORN RD, DANVILLE, WV 25053-7148
(304) 369-1385
Mailing address
20 BEAR OAK LN UNIT 1, CHARLESTON, WV 25306-6390
(304) 601-8050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003929
WV
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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