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Individual

HANNAH PAIGE STAATS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 S RITCHIE AVE, RAVENSWOOD, WV 26164-1721
(304) 273-9385
Mailing address
79 MANDOLIN DR, SANDYVILLE, WV 25275-9629
(304) 532-8941

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002798
WV

Other

Enumeration date
10/28/2021
Last updated
10/28/2021
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