Organization
COMPASS PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS D BUCHHOLZ PT, DPT (OWNER, PHYSICAL THERAPIST)
(540) 409-1764
Entity
Organization
Contact information
Practice address
2266 HENSHAW RD, INWOOD, WV 25428-3662
(540) 409-1764
(717) 473-4053
Mailing address
2266 HENSHAW RD, INWOOD, WV 25428-3662
(540) 409-1764
(717) 473-4053
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT003748
WEST VIRGINIA STATE PHYSICAL THERAPY LICENSE
WV
Enumeration date
01/11/2019
Last updated
01/11/2019
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