Individual
MRS. MIRANDA CONDEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5187 US ROUTE 60, SUITE 28, HUNTINGTON, WV 25705-2076
(304) 733-9430
Mailing address
5187 US ROUTE 60, SUITE 28, HUNTINGTON, WV 25705-2076
(304) 733-9430
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002903
WV
Other
Enumeration date
06/20/2013
Last updated
04/08/2014
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