Individual
MARY STEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6354 US ROUTE 60 E STE 4, BARBOURSVILLE, WV 25504-1247
(304) 733-1626
Mailing address
6354 US ROUTE 60 E STE 4, BARBOURSVILLE, WV 25504-1247
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WVE888237
DRIVERS LICENSE
WV
Enumeration date
04/14/2022
Last updated
07/21/2022
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