Riverside Physical Therapy, LLC

NPI #1174894026 in Mineral Wells, West Virginia

Provider Information

NPI Number
1174894026
Entity Type
Organization
Organization Name
Riverside Physical Therapy, LLC
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Jan 24, 2012
Last Updated
Feb 9, 2012

Practice Location

Address
105 SEASONS LN
ZIP Code
26150-8110
Phone
(304) 615-7576

Authorized Official

Name
MR. JOSHUA BRADFORD GANDEE, MPT
Title
OWNER/MANAGER/THERAPIST
Phone
(304) 615-7576

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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