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Organization

MARDEN REHABILITATION ASSOCIATES OF PORTAGE COUNTY, INC.

Active
Other names
Marden Rehabilitation Associates of West Virginia
Organization subpart
No

Provider details

NPI number
Authorized official
KARY PHELPS (VP OF CORPORATE SERVICES)
(740) 373-9446
Entity
Organization

Contact information

Practice address
832 COOK PARKWAY, OCEANA, WV 24870-1930
(304) 682-7100
(304) 682-7400
Mailing address
CORNER HARDING & RT 10 COOK PARKWAY, PO BOX 1930, OCEANA, WV 24870-1930
(304) 682-7100
(304) 682-7400

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0203236000
WV
Enumeration date
08/24/2006
Last updated
08/31/2020
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