Individual
LISA HARGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1500 GRAND CENTRAL AVE, SUITE 101, VIENNA, WV 26105-1079
(304) 295-3060
(304) 295-3068
Mailing address
1500 GRAND CENTRAL AVE STE 101, VIENNA, WV 26105-1079
(304) 693-2781
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 003064
WV
Other
Enumeration date
08/07/2012
Last updated
12/15/2025
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