NPI 1891063665

Pediatric Therapy Services,llc

Organisation Contractor Morgantown, WV

Practice location

Address: 309 Eleanor Dr, Morgantown, WV 26508-9004
Phone: (304) 698-6081
Fax: (304) 381-2035

Authorised official

Name: Tabitha Jeffries
Title: Director
Phone: (304) 698-6081

Registered specialties (3)

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 22423229 (WV)

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Licensed Practical Nurse

Nursing Service Providers Taxonomy 164W00000X Licence 27534 (WV)

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Early Intervention Provider Agency

Agencies Taxonomy 252Y00000X Licence 22423229 (WV)

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Registry record

NPI: 1891063665
Entity type: Organization
NPI issued: 8 Dec 2011
Record last updated: 8 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.