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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