Doctor Name: | MR. DONNIE ELMER NEWBERRY |
NPI Number: | 1578682936 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 1265 |
Business Practice Address: | 422 23rd St Oak Hill, WV - 259012830 |
Business Phone Number: | 8005840507 |
Business Fax Number: | |
Mailing Address: | 193 Flat Top Lake Rd, GHENT |
State: | WV |
Postal Code: | 258439357 |
Phone Number: | 3047875708 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 1265 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |