Gassaway Glenville Physical Therapy Specialits, Inc in Gassaway - Specialist

Gassaway Glenville Physical Therapy Specialits, Inc - NPI 1447350228

Gassaway Glenville Physical Therapy Specialits, Inc is a Specialist in Gassaway, . Gassaway Glenville Physical Therapy Specialits, Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gassaway Glenville Physical Therapy Specialits, Inc is 1447350228. The last update date is 2015-09-29.

Gassaway Glenville Physical Therapy Specialits, Inc's current location address is 155 Reston Place, Gassaway, . You can contact this provider via phone number 3043649191 and fax number 3043649193. The mailing address for Gassaway Glenville Physical Therapy Specialits, Inc is 155 Reston Place, Gassaway, . To know further, please read the information below!

Provider Profile Detail

Provider Organization Gassaway Glenville Physical Therapy Specialits, Inc
Address 155 Reston Place, Gassaway,
Phone Number 3043649191
Fax Number 3043649193
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PRES
Authorized Official Name Boring Charles Kevin
Credentials MPT
Telephone Number 3043649191

NPI Number Detail

NPI Number 1447350228
Provider Enumeration Date 2006-09-22
Last Updated Date 2015-09-29

Provider Mailing Address Detail

Address 155 Reston Place
City Gassaway
State (WV)
Post Code 26624
Phone Number 3043649191
Fax Number 3043649193

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 1248
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1886362 WV BCBS
1036377 WV WV WORKERS COMPENSATION

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FAQs about Gassaway Glenville Physical Therapy Specialits, Inc

What is the unique 10-digit identifier code assigned to Gassaway Glenville Physical Therapy Specialits, Inc by the Centers for Medicare & Medicaid Services?

The Gassaway Glenville Physical Therapy Specialits, Inc has been issued the NPI (National Provider Identifier) 1447350228 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Gassaway Glenville Physical Therapy Specialits, Inc is physically located?

The Gassaway Glenville Physical Therapy Specialits, Inc is physically situated at the following address: 155 Reston Place, Gassaway, WV, 26624.

What is Gassaway Glenville Physical Therapy Specialits, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gassaway Glenville Physical Therapy Specialits, Inc is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1447350228 to Gassaway Glenville Physical Therapy Specialits, Inc?

The Centers for Medicare & Medicaid Services originally issued the 1447350228 to Gassaway Glenville Physical Therapy Specialits, Inc on 2006-09-22.

As of what date were the details related to Gassaway Glenville Physical Therapy Specialits, Inc most recently updated or revised?

The information pertaining to Gassaway Glenville Physical Therapy Specialits, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2015-09-29.

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