St of Wv Div of Rehabilitation Services
NPI #1619951977 in Institute, West Virginia
Provider Information
- NPI Number
- 1619951977
- Entity Type
- Organization
- Organization Name
- St of Wv Div of Rehabilitation Services
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- Nov 30, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- BARRON DRIVE
- City
- Institute
- State
- West Virginia
- ZIP Code
- 25112-1004
- Phone
- (304) 766-4848
Authorized Official
- Name
- MR. LAINE WILDER
- Title
- ASSISTANT DIRECTOR, CENTER ADMINIST
- Phone
- (304) 766-4767
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
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