Individual
SAMANTHA C ELSWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
422 23RD ST, OAK HILL, WV 25901-2830
(304) 465-1903
Mailing address
RR 1 BOX 260D, FAYETTEVILLE, WV 25840-9723
(304) 465-0624
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000802
WV
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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