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Organization

PRESTON REHABILITATION & ORTHOPEDIC PHYSICAL THERAPY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GLEN WALTON MCNEW III MBA (BUSINESS MANAGER)
(304) 329-3739
Entity
Organization

Contact information

Practice address
421 MORGANTOWN ST, KINGWOOD, WV 26537-1095
(304) 329-3739
(304) 329-3250
Mailing address
421 MORGANTOWN ST, KINGWOOD, WV 26537-1095
(304) 329-3739
(304) 329-3250

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013138
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0204035000
WV
Enumeration date
05/23/2006
Last updated
11/27/2012
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