Organization
MOUNTAIN RIVER PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA ROGERS (VICE PRESIDENT OF OPERATIONS)
(304) 917-3669
Entity
Organization
Contact information
Practice address
55 LOUNEZ AVE, SUITE 1, WHEELING, WV 26003-7420
(304) 905-0802
(304) 905-1351
Mailing address
415 36TH ST, SUITE 100, PARKERSBURG, WV 26101-1005
(304) 917-3660
(304) 917-3674
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2016
Last updated
01/09/2017
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