Individual
BRIAN STANDIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
313 MACCORKLE AVE SW, CHARLESTON, WV 25303-1263
(304) 746-3704
Mailing address
809 FARSON ST, SUITE 105, BELPRE, OH 45714-1066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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