MR. Kenneth Lagua Adivino, PT, MS
NPI #1184087793 in Beckley, West Virginia
Provider Information
- NPI Number
- 1184087793
- Entity Type
- Individual
- Name
- MR. Kenneth Lagua Adivino, PT, MS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT, MS
- Enumeration Date
- Mar 31, 2016
- Last Updated
- Mar 31, 2016
Practice Location
- Address
- 306 STANAFORD RD
- City
- Beckley
- State
- West Virginia
- ZIP Code
- 25801-3142
- Phone
- (304) 255-3302
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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