Organization
TRUE NORTH THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENFORD EDWIN SERGENT OTR/L (OCCUPATIONAL THERAPIST)
(304) 582-4977
Entity
Organization
Contact information
Practice address
653 STREET OF DREAMS, MARTINSBURG, WV 25403-1140
(304) 582-4977
Mailing address
653 STREET OF DREAMS, MARTINSBURG, WV 25403-1140
(304) 582-4977
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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