Individual
MEGAN BROOKE PETHTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1228 COUNTRY CLUB ROAD, #15, FAIRMONT, WV 26554-2369
(304) 366-0461
(304) 366-0497
Mailing address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
(304) 599-2515
(304) 285-3738
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
WV1573
WV
Other
Enumeration date
09/13/2011
Last updated
10/06/2011
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