Individual
TAMISHA R DOTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
590 N POPLAR FORK RD, HURRICANE, WV 25526-7106
(304) 757-2026
Mailing address
RR 4 BOX 293, HURRICANE, WV 25526-9361
(304) 633-9102
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1459
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1459
WV PHYSICAL THERAPY BOARD
WV
Enumeration date
10/31/2014
Last updated
10/31/2014
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