Individual
MRS. SPENCER YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
829 FAIRMONT RD STE 103, MORGANTOWN, WV 26501-3892
(304) 381-2042
Mailing address
6 WILKINSON ST, GRAFTON, WV 26354-1867
(304) 641-5159
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003809
WV
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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