Provider Demographics
NPI:1851680425
Name:AFFILIATED PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:AFFILIATED PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LUNSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-622-5822
Mailing Address - Street 1:2A CHERRY TREE DR
Mailing Address - Street 2:
Mailing Address - City:NUTTER FORT
Mailing Address - State:WV
Mailing Address - Zip Code:26301-4475
Mailing Address - Country:US
Mailing Address - Phone:304-622-5822
Mailing Address - Fax:304-622-9707
Practice Address - Street 1:2A CHERRY TREE DR
Practice Address - Street 2:
Practice Address - City:NUTTER FORT
Practice Address - State:WV
Practice Address - Zip Code:26301-4475
Practice Address - Country:US
Practice Address - Phone:304-622-5822
Practice Address - Fax:304-622-9707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty