NPI 1033495700

Nicole Bakos, PTA

Practitioner Physical Therapy Assistant Morgantown, WV

Practice location

Address: 170 Lakeview Dr Suite 2, Morgantown, WV 26508-9284
Phone: (304) 594-1545
Fax: (304) 594-1547
Mailing address: 943 Maple Dr, Morgantown, WV 26505-2812

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence WV000779 (WV)

Other Physical Therapy Assistant providers in West Virginia →

Registry record

NPI: 1033495700
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Oct 2011
Record last updated: 26 Oct 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.