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Organization

MAINSTREAM PHYSICAL THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN IRA KIRLANGITIS DPT (DOCTOR OF PHYSICAL THERAPY)
(304) 723-7111
Entity
Organization

Contact information

Practice address
243 THREE SPRINGS DR STE 1, WEIRTON, WV 26062-3839
(304) 723-7111
(304) 723-7173
Mailing address
243 THREE SPRINGS DR STE 1, WEIRTON, WV 26062-3839
(304) 723-7111
(304) 723-7173

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
002305
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810001308
WV
Enumeration date
11/16/2006
Last updated
04/16/2025
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