Professional Sportscare & Rehab of West Virginia, LLC

NPI #1952856064 in Inwood, West Virginia

Provider Information

NPI Number: 1952856064
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: 745 MIDDLEWAY PIKE
City: Inwood
State: West Virginia
ZIP Code: 25428-4051
Phone: (304) 229-4143

Authorized Official

Name: TASHEDA BROUGHTON, PESC
Title: MANAGER, CREDENTIALING
Phone: (252) 248-3313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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