Individual
MICHAEL SCOTT SPERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 LINCOLN DR, SOUTH CHARLESTON, WV 25309-2304
(304) 768-4400
Mailing address
160 CAMDEN CIR APT 104, SCOTT DEPOT, WV 25560-6018
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002278
WV
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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