NPI 1114792777

Susan J Fraser, PTA

Practitioner Physical Therapy Assistant Charles Town, WV

Practice location

Address: 1263 S George St, Charles Town, WV 25414-4384
Phone: (304) 725-6575
Mailing address: 62 Bouldin Rd, Charles Town, WV 25414-5668

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 002052 (WV)

Other Physical Therapy Assistant providers in West Virginia →

Registry record

NPI: 1114792777
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Nov 2023
Record last updated: 22 Nov 2023

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.