Individual
MICHELE A LIBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
699 BURROUGHS ST, MORGANTOWN, WV 26505
(304) 241-6875
Mailing address
699 BURROUGHS ST, MORGANTOWN, WV 26505-3346
(304) 241-6875
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001867
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT001867
STATE LICENSE
WV
Enumeration date
08/10/2018
Last updated
02/27/2020
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