Individual
AMANDA MASTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1716 GIHON RD, PARKERSBURG, WV 26101-9655
(304) 485-5511
Mailing address
321 LUBECK RD, PARKERSBURG, WV 26101-7720
(304) 494-6094
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001763
WV
Other
Enumeration date
07/28/2013
Last updated
07/28/2013
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