Organization
DUNBAR THERAPY CENTER, LLC
Active
Other names
Dunbar Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
JASPER BANZON OTR/L (OWNER)
(304) 654-6892
Entity
Organization
Contact information
Practice address
1313 DUNBAR AVE, DUNBAR, WV 25064-2920
(304) 400-4896
(304) 400-4897
Mailing address
1313 DUNBAR AVE, DUNBAR, WV 25064-2920
(304) 400-4896
(304) 400-4897
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OTR/L 1092
WV
Other
Enumeration date
09/10/2013
Last updated
10/15/2013
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