Individual
MISTY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 CALDWEL LANE, DUNBAR, WV 25064
(304) 744-4761
Mailing address
501 CALDWELL LN, DUNBAR, WV 25064-2026
(304) 744-4761
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 001654
WV
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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