Organization
MOUNTAIN HOME PHYSICAL THERAPY
Active
Other names
Valley Ridge Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYL ALLEN WHITE PHYSICAL THERAPIST (PRESIDENT)
(304) 523-4555
Entity
Organization
Contact information
Practice address
1412 6TH AVE, HUNTINGTON, WV 25701-2421
(304) 523-4555
(304) 525-1736
Mailing address
1412 6TH AVE, HUNTINGTON, WV 25701-2421
(304) 523-4555
(304) 525-1736
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1507
WV
Other
Enumeration date
01/24/2010
Last updated
08/04/2013
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