Individual
RONALD SCOTT BUCHOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, DPT, OCS
Contact information
Practice address
1212 GARFIELD AVE, SUITE 200, PARKERSBURG, WV 26101-3247
(304) 865-6778
(304) 865-7400
Mailing address
1212 GARFIELD AVE, 200, PARKERSBURG, WV 26101-3247
(304) 865-6778
(304) 865-7400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002468
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2608548
—
OH
05
—
3810002649
—
WV
01
—
P00353841
RAILROAD MEDICARE
—
Enumeration date
08/16/2006
Last updated
04/04/2012
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