Organization
HARRISON COUNTY SOCIETY FOR CRIPPLED CHILDREN AND ADULTS
Active
Other names
Childrens Treatment Ctr and Adult Therapy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNDA JOYCE MENENDEZ (EXECUTIVE DIRECTOR)
(304) 624-5009
Entity
Organization
Contact information
Practice address
171LIBERTY AVE, CLARKSBURG, WV 26301-0000
(304) 624-5009
(304) 624-5107
Mailing address
171LIBERTY AVE, CLARKSBURG, WV 26301-0000
(304) 624-5009
(304) 624-5107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001801
—
WV
Enumeration date
07/28/2008
Last updated
03/04/2009
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