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Mountain River Physical Therapy, LLC

Clinic/Center, Physical Therapy in Fairmont, WV. Organization (NPI-2).

NPI number1992314280
StatusActive
Last updated in NPPESJul 23, 2020

Details

NPI
1992314280
Entity type
Organization (NPI-2)
Legal business name
Mountain River Physical Therapy, LLC
Organization subpart
No
Enumeration date
Jul 23, 2020
Certification date
Jul 23, 2020
Last updated
Jul 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2000X Clinic/Center, Physical Therapy––Yes

Practice location

1900 Locust Ave Ste A
Fairmont, WV 26554-1293

Phone 304-917-3660 · Fax 304-917-3674

Mailing address

415 36th St Ste 100
Parkersburg, WV 26101-1005

Phone 304-917-3660 · Fax 304-917-3674

Authorized official

Krista Rogers
Cfo And Vp Of Finance/Operations
3048656778

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Other Physical Therapy Clinic/Center providers in Fairmont, WV

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