Organization
BRIDGEPORT PHYSICAL THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. T. MICHAEL MARTIN RPT (OWNER)
(304) 842-3137
Entity
Organization
Contact information
Practice address
306 W MAIN ST, BRIDGEPORT, WV 26330-1751
(304) 842-3137
(304) 842-3138
Mailing address
306 W MAIN ST, BRIDGEPORT, WV 26330-1751
(304) 842-3137
(304) 842-3138
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
001
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201604000
—
WV
Enumeration date
11/06/2006
Last updated
07/21/2022
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