Doctor Name: | MR. NATHAN ROBERT TOMASIK |
NPI Number: | 1609252634 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 3514 |
Business Practice Address: | 746 Fairmont Road Westover, WV - 26501 |
Business Phone Number: | 3042255222 |
Business Fax Number: | 3042255224 |
Mailing Address: | 746 Fairmont Road, WESTOVER |
State: | WV |
Postal Code: | 26501 |
Phone Number: | 3042255222 |
Fax Number: | 3042255224 |
NPI Enumeration Date: | 07/31/2015 |
NPI Last Update Date: | 01/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 3514 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |