Doctor Name: | MS. PAMELA LYNN VARNEY |
NPI Number: | 1548416498 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PTA |
License Number: | PTA 001474 |
Business Practice Address: | 50 Mulberry Tree St Charles Town, WV - 254141274 |
Business Phone Number: | 3047241101 |
Business Fax Number: | 3047241105 |
Mailing Address: | 50 Mulberry Tree St, CHARLES TOWN |
State: | WV |
Postal Code: | 254141274 |
Phone Number: | 3047241101 |
Fax Number: | |
NPI Enumeration Date: | 08/12/2008 |
NPI Last Update Date: | 12/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PTA 001474 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |