Individual
JOHNNY RYAN SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1000 ASSOCIATION DR, CHARLESTON, WV 25311-1270
(304) 347-4372
Mailing address
1000 ASSOCIATION DR, CHARLESTON, WV 25311-1270
(304) 347-4372
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001511
WV
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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