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Organization

BARBOURSVILLE PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH R CROWDER PT (CO.PARTNER)
(304) 736-3094
Entity
Organization

Contact information

Practice address
6433 US ROUTE 60 E, SUITE 125, BARBOURSVILLE, WV 25504-1226
(304) 736-3094
(304) 736-3149
Mailing address
6433 US ROUTE 60 E, SUITE 125, BARBOURSVILLE, WV 25504-1226
(304) 736-3094
(304) 736-3149

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9420081000
WV
01
CD9690
RR MEDICARE
Enumeration date
08/09/2005
Last updated
08/22/2020
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