Individual
DR. RAVEN V WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1941 SAVAGE RD, SUITE 400C, CHARLESTON, SC 29407-4704
(843) 571-2700
Mailing address
89 E WILDERNESS RD, NATCHEZ, MS 39120-8501
(601) 445-8734
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 5250
SC
225100000X
Physical Therapist
PT 7678
TN
225100000X
Physical Therapist
Primary
PT3625
MS
Other
Enumeration date
07/09/2007
Last updated
07/09/2007
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