Individual
JOSHUA B GANDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
105 SEASONS LN, MINERAL WELLS, WV 26150-8110
(304) 615-7576
(304) 422-4094
Mailing address
105 SEASONS LN, MINERAL WELLS, WV 26150-8110
(304) 615-7576
(304) 422-4094
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2160
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001722320
BLUE CROSS BLUE SHIELD
WV
Enumeration date
09/14/2006
Last updated
11/23/2011
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