Organization
HARRY T MATHIVHA
Active
Other names
LIV FITNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY TSHIFHIWA MATHIVHA OTR/L (OWNER)
(740) 962-2152
Entity
Organization
Contact information
Practice address
985 E MARIETTA RD, MCCONNELSVILLE, OH 43756-9768
(740) 962-2152
Mailing address
103 ARBORGATE DR, MARIETTA, OH 45750-9224
(740) 962-2152
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
OT.003354
OH
Other
Enumeration date
09/26/2006
Last updated
06/17/2008
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