Individual
CARISSA JINNELL BELFIORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA/LMT
Contact information
Practice address
117 THREE SPRINGS DR # B, WEIRTON, WV 26062-3827
(304) 723-2494
Mailing address
104 S 24TH ST APT 1, WEIRTON, WV 26062-3552
(412) 512-4478
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA002036
WV
225200000X
Physical Therapy Assistant
TE009936
PA
225700000X
Massage Therapist
Primary
MSG003803
PA
Other
Enumeration date
06/04/2017
Last updated
06/04/2017
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