Organization
GENERATIONS R.C. INC.
Active
Other names
Generations Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY MUNDELL (CFO)
(681) 233-0753
Entity
Organization
Contact information
Practice address
4002 40TH STREET, NITRO, WV 25143
(304) 757-2500
Mailing address
PO BOX 219, MILTON, WV 25541-0219
(681) 233-0753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000212
—
WV
Enumeration date
10/13/2021
Last updated
10/13/2021
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