Individual
MS. HOLLY SUE KATCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
717 N JEFFERSON STREET, LEWISBURG, WV 24901
(304) 645-2525
(304) 645-2525
Mailing address
717 N JEFFERSON STREET, LEWISBURG, WV 24901
(304) 645-2525
(304) 645-2820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002103
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001712692
MOUNTAIN STATE BLUE CROSS
WV
05
—
3910001442
—
WV
Enumeration date
07/30/2006
Last updated
07/08/2007
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