Individual
MRS. LOUISE A AMRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
RT 3 BOX 338B, WINFIELD STATE RT 73, FAIRMONT, WV 26554
(304) 366-1299
(304) 366-9380
Mailing address
24 PINNACLE LN, MORGANTOWN, WV 26508-2918
(304) 594-2111
(304) 366-9380
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
192
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155958000
—
WV
01
—
WC1003703002
BRICKSTREET
WV
Enumeration date
11/16/2006
Last updated
09/11/2012
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