Individual
CASEY WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 LINCOLN DR, CHARLESTON, WV 25309-2304
(304) 768-4400
Mailing address
148 TOWNSHIP ROAD 98, SOUTH POINT, OH 45680-7478
(740) 442-1800
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002011
WV
Other
Enumeration date
10/07/2014
Last updated
10/13/2014
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