Individual
AMY L QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
60 CLARKSBURG RD, BUCKHANNON, WV 26201-8400
(304) 472-0181
(304) 472-0192
Mailing address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
(304) 599-2515
(304) 285-3738
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002082
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7304067000
—
WV
Enumeration date
06/15/2006
Last updated
10/25/2013
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