Country Roads Physical Therapy and Rehabilitation
NPI #1831147297 in Fairmont, West Virginia
Provider Information
- NPI Number
- 1831147297
- Entity Type
- Organization
- Organization Name
- Country Roads Physical Therapy and Rehabilitation
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 5, 2006
- Last Updated
- Jul 10, 2008
Practice Location
- Address
- 1509 FAIRMONT AVENUE
- City
- Fairmont
- State
- West Virginia
- ZIP Code
- 26554-1346
- Phone
- (304) 363-0050
Authorized Official
- Name
- MR. DEREK ALAN FALKENSTEIN, PT
- Title
- PHYSICAL THERAPIST/OWNER
- Phone
- (304) 363-0050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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