Pediatric Physical Therapy, LLC
NPI #1750657664 in Fairmont, West Virginia
Provider Information
- NPI Number
- 1750657664
- Entity Type
- Organization
- Organization Name
- Pediatric Physical Therapy, LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Mar 25, 2012
- Last Updated
- Mar 25, 2012
Practice Location
- Address
- RR 6 BOX 260-6E
- City
- Fairmont
- State
- West Virginia
- ZIP Code
- 26554-9396
- Phone
- (304) 367-0750
Authorized Official
- Name
- MS. NANCY E HICKMAN, PT
- Title
- PRESIDENT
- Phone
- (304) 366-8395
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
| Clinic/Center - Physical Therapy — Physical Therapy |
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