Organization
WEST VIRGINIA PHYSICAL THERAPY & WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEORGEANN MARIE BLANKENSHIP (CO. OWNER)
(304) 645-2525
Entity
Organization
Contact information
Practice address
717 N JEFFERSON ST, LEWISBURG, WV 24901-9506
(304) 645-2525
(304) 645-2820
Mailing address
717 N JEFFERSON ST, LEWISBURG, WV 24901-9506
(304) 645-2525
(304) 645-2820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
71364
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004938
—
WV
Enumeration date
08/08/2006
Last updated
08/22/2020
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