Fayetteville Physical Therapy & Sports Rehabilitation

NPI #1003994054 in Fayetteville, West Virginia

Provider Information

NPI Number: 1003994054
Entity Type: Organization
Organization Name: Fayetteville Physical Therapy & Sports Rehabilitation
Primary Specialty: Specialist
Enumeration Date: Nov 1, 2006
Last Updated: Jan 8, 2008

Practice Location

Address: 233 N COURT ST
City: Fayetteville
State: West Virginia
ZIP Code: 25840-1233
Phone: (304) 574-1416

Authorized Official

Name: MS. KAREN M BRANDSTETTER
Title: OFFICE MANAGER
Phone: (304) 574-1416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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