Individual
JOHN B OXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2565
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001881188
MOUNTAIN STATE BCBS
WV
05
—
2674440
—
OH
05
—
3810005916
—
WV
01
—
7180806
AETNA
—
01
—
P00347484
RR MEDICARE
—
Enumeration date
07/15/2006
Last updated
06/03/2020
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