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Organization

ORTHOPEDIC PHYSICAL THERAPY ASSOCIATES

Active
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Organization

ORTHOPEDIC PHYSICAL THERAPY ASSOCIATES

Active
Other names
Elkins PT & Sports Injury Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN M DIBACCO PT,DPT (OWNER)
(304) 636-1548
Entity
Organization

Contact information

Practice address
10 MAIN ST, ELKINS, WV 26241-3190
(304) 636-1548
(304) 636-1566
Mailing address
10 MAIN ST, ELKINS, WV 26241-3190
(304) 636-1548
(304) 636-1566

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
10/25/2011
Last updated
10/27/2021
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