Individual
MRS. SHANDA REYNOLDS MCNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
RR 3 BOX 1527, KINGWOOD, WV 26537-9711
(304) 329-3739
(304) 329-3250
Mailing address
202 SEEMONT DR, KINGWOOD, WV 26537-1706
(304) 329-1442
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002039
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7304011000
—
WV
Enumeration date
12/15/2006
Last updated
07/08/2007
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