Individual
GAGE BRENDAN CREEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
13857 APPLE HARVEST DR, MARTINSBURG, WV 25403-6199
(304) 596-8878
Mailing address
134 FULTON RD, HEDGESVILLE, WV 25427-4090
(304) 886-8736
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003004
WV
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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