Therapy Providers Service Organization, LLC

NPI #1740467463 in Kermit, West Virginia

Provider Information

NPI Number: 1740467463
Entity Type: Organization
Organization Name: Therapy Providers Service Organization, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 24, 2008
Last Updated: Apr 22, 2014

Practice Location

Address: 47454 ROUTE 52
City: Kermit
State: West Virginia
ZIP Code: 25674-8052
Phone: (304) 393-4072

Authorized Official

Name: MARK W MASCIO
Title: PRESIDENT
Phone: (304) 723-3780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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