Individual
JAMES CARL GWINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1777 C AND O DAM RD, DANIELS, WV 25832-9653
(304) 673-4137
Mailing address
1777 C AND O DAM RD, DANIELS, WV 25832-9653
(304) 673-4137
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001363
WV
Other
Enumeration date
02/27/2008
Last updated
04/01/2008
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