Organization
GAULEY RIVER PHYSICAL THERAPY AND REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR JOHN SMITH JR. P.T. (CO-ADMINISTRATOR)
(304) 872-0490
Entity
Organization
Contact information
Practice address
704 PROFESSIONAL PARK DR, SUITE B, SUMMERSVILLE, WV 26651-2000
(304) 872-0490
(304) 872-0492
Mailing address
704 PROFESSIONAL PARK DR STE B, SUMMERSVILLE, WV 26651-2000
(304) 872-0490
(304) 872-0492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157391000
—
WV
Enumeration date
05/03/2007
Last updated
08/22/2020
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