Professional Sportscare & Rehab of West Virginia, LLC
NPI #1245979616 in Martinsburg, West Virginia
Provider Information
- NPI Number
- 1245979616
- Entity Type
- Organization
- Organization Name
- Professional Sportscare & Rehab of West Virginia, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jun 2, 2022
- Last Updated
- Jun 4, 2025
Practice Location
- Address
- 80 RETAIL COMMONS PKWY STE 3
- City
- Martinsburg
- State
- West Virginia
- ZIP Code
- 25403-6182
- Phone
- (919) 373-2919
Authorized Official
- Name
- TASHEDA BROUGHTON, PESC
- Title
- MANAGER, CREDENTIALING
- Phone
- (252) 248-3313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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