Organization
COUNTRY ROADS PHYSICAL THERAPY AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK ALAN FALKENSTEIN PT (PHYSICAL THERAPIST/OWNER)
(304) 363-0050
Entity
Organization
Contact information
Practice address
1509 FAIRMONT AVENUE, FAIRMONT, WV 26554-1346
(304) 363-0050
(304) 363-0048
Mailing address
1509 FAIRMONT AVENUE, FAIRMONT, WV 26554-1346
(304) 363-0050
(304) 363-0048
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1189
WV
Other
Enumeration date
05/05/2006
Last updated
07/10/2008
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