Individual
ALISSA QUIROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 NATIONAL RD STE 100, WHEELING, WV 26003-6560
(304) 230-5601
Mailing address
415 36TH ST STE 100, PARKERSBURG, WV 26101-1005
(304) 917-3660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004378
WV
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2014
Last updated
04/15/2021
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