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Cheron Marcell Puryear, PT

Physical Therapist in Martinsburg, WV. Individual provider (NPI-1).

NPI number1164024014
StatusActive
Last updated in NPPESJan 30, 2023

Details

NPI
1164024014
Entity type
Individual (NPI-1)
Name
Cheron Marcell Puryear
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Nov 14, 2020
Certification date
Jan 30, 2023
Last updated
Jan 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist–WVYes
225100000X Physical Therapist2305213941VA

Practice location

5078 Williamsport Pike Ste I
Martinsburg, WV 25404-6458

Phone 304-271-8895 · Fax 304-271-8891

Mailing address

350 New Fidelity Ct
Garner, NC 27529-2665

Phone 919-258-2714 · Fax 410-648-4878

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