Organization Name: | SOUTHERN WEST VIRGINIA PHYSICAL THERAPY |
NPI Number: | 1245411701 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICK M ELLIS (PHYSICAL THERAPIST/ OWNER) |
Mailing Address: | 6107 Crawley Creek Rd. Chapmanville |
State: | WV US |
Postal Code: | 25508 |
Phone Number: | 3048559500 |
Fax Number: | 3048559525 |
NPI Enumeration Date: | 11/26/2007 |
NPI Last Update Date: | 07/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 002118 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |