| Organization Name: | BOLIVAR-HARPERS FERRY PHYSICAL THERAPY |
| NPI Number: | 1093741837 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HEIDI SIMMONS (PHYSICAL THERAPIST, OWNER) |
| Mailing Address: | 43 Panama St Harpers Ferry |
| State: | WV US |
| Postal Code: | 25425 |
| Phone Number: | 3045352400 |
| Fax Number: | 3045352424 |
| NPI Enumeration Date: | 06/23/2006 |
| NPI Last Update Date: | 11/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 001785 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |