Organization
SUMMIT PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS J MARTIN PT (OWNER)
(304) 527-4472
Entity
Organization
Contact information
Practice address
1425 MAIN ST, FOLLANSBEE, WV 26037-1217
(304) 527-4472
(304) 572-4648
Mailing address
414 PENCO RD, WEIRTON, WV 26062-3822
(304) 723-3780
(304) 723-4110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001084
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004834
—
WV
Enumeration date
04/20/2007
Last updated
04/20/2008
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