Organization
ELK VALLEY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER DAWN CASTO (OFFICE MANAGER)
(304) 965-7979
Entity
Organization
Contact information
Practice address
105 CREDES LNDG, ELKVIEW, WV 25071-8185
(304) 965-7979
(304) 965-3239
Mailing address
105 CREDES LNDG, ELKVIEW, WV 25071-8185
(304) 965-7979
(304) 965-3239
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001912
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810019220
—
WV
Enumeration date
11/08/2016
Last updated
11/08/2016
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