Professional Sportscare & Rehab of West Virginia, LLC
NPI #1497200513 in Hedgesville, West Virginia
Provider Information
- NPI Number
- 1497200513
- Entity Type
- Organization
- Organization Name
- Professional Sportscare & Rehab of West Virginia, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Aug 18, 2016
- Last Updated
- Nov 1, 2024
Practice Location
- Address
- 71 COWARDLY LION DR
- Address 2
- UNIT D
- City
- Hedgesville
- State
- West Virginia
- ZIP Code
- 25427-6785
- Phone
- (304) 754-5002
Authorized Official
- Name
- TASHEDA BROUGHTON, PESC
- Title
- MANAGER, CREDENTIALING
- Phone
- (252) 248-3313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| Dennis Golden, PT, DPT | |
| Patrick Coyle, DPT | |
| James Douglas, PT | |
| Courtney R Stump |
Organizations
| Provider Name | |
|---|---|
| Gaia Women's Physical Therapy and Wellness, LLC |
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