Mountain Ridge Physical Therapy LLC

NPI #1457899809 in Morgantown, West Virginia

Provider Information

NPI Number
1457899809
Entity Type
Organization
Organization Name
Mountain Ridge Physical Therapy LLC
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Feb 6, 2017
Last Updated
Feb 6, 2017

Practice Location

Address
6000 COOMBS FARM DRIVE
Address 2
SUITE 202B
ZIP Code
26508
Phone
(304) 685-6064

Authorized Official

Name
DR. DEREK D CLARK, DPT, PT, MS, CSCS
Title
OWNER, PHYSICAL THERAPIST
Phone
(304) 685-6064

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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