Individual
MR. COLBY D MOZINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3910 TEAYS VALLEY RD, HURRICANE, WV 25526-9756
(304) 757-7293
(304) 757-0574
Mailing address
3910 TEAYS VALLEY RD, HURRICANE, WV 25526-9756
(304) 757-7293
(304) 757-0574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003095
WV
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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