Organization
ENTERPRISE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN R SALAZAR P.T. (PHYSICAL THERAPY)
(304) 562-2823
Entity
Organization
Contact information
Practice address
242 IRENE CIR, HURRICANE, WV 25526-9320
(304) 562-2823
(304) 562-2823
Mailing address
242 IRENE CIR, HURRICANE, WV 25526-9320
(304) 562-2823
(304) 562-2823
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
99UEU
WV
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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