Organization
SUMMIT PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W MASCIO LPT (VP)
(304) 723-3780
Entity
Organization
Contact information
Practice address
414 PENCO RD, WEIRTON, WV 26062
(304) 723-3780
(304) 723-4110
Mailing address
414 PENCO RD, WEIRTON, WV 26062
(304) 723-3780
(304) 723-4110
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004836
—
WV
Enumeration date
08/11/2006
Last updated
04/20/2008
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