Organization
PELVIC CARE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN SMITH (PHYSICAL THERAPIST)
(304) 677-4165
Entity
Organization
Contact information
Practice address
412 FAIRMONT AVE, FAIRMONT, WV 26554-2792
(304) 677-4165
Mailing address
412 FAIRMONT AVE, FAIRMONT, WV 26554-2792
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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