Professional Sportscare & Rehab of West Virginia, LLC
NPI #1861947988 in Martinsburg, West Virginia
Provider Information
- NPI Number
- 1861947988
- 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
- 5078 WILLIAMSPORT PIKE STE I
- City
- Martinsburg
- State
- West Virginia
- ZIP Code
- 25404-6458
- Phone
- (304) 271-8891
Authorized Official
- Name
- TASHEDA BROUGHTON, PESC
- Title
- MANAGER, CREDENTIALING
- Phone
- (252) 248-3313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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