Individual
PETER SHOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44 PADDOCK PL, CHARLES TOWN, WV 25414-5329
(304) 997-4161
Mailing address
44 PADDOCK PL, CHARLES TOWN, WV 25414-5329
(304) 997-4161
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2002-1082
WV
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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