DR. Gregory Stuart Syvertson, PT, DPT, CFT,CCI

NPI #1104800655 in Rainelle, West Virginia

Provider Information

NPI Number: 1104800655
Entity Type: Individual
Name: DR. Gregory Stuart Syvertson, PT, DPT, CFT,CCI
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT, CFT,CCI
Enumeration Date: Nov 29, 2005
Last Updated: Aug 19, 2010

Practice Location

Address: 1 JOHN RAINE DR
City: Rainelle
State: West Virginia
ZIP Code: 25962-1457
Phone: (304) 438-9225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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