Individual
MR. HOWARD JOE POLING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
212 MEADOW VIEW DR, BRIDGEPORT, WV 26330-1227
(304) 709-1511
Mailing address
212 MEADOW VIEW DR, BRIDGEPORT, WV 26330-1227
(304) 709-1511
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001322
WV
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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