Individual
TIFFANY FRALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 COUNTRY CLUB DR, HUNTINGTON, WV 25705-2000
(304) 733-1060
Mailing address
581 SHERWOOD DR, HUNTINGTON, WV 25704-9465
(304) 544-8848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
812
WV
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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