Provider Demographics
NPI:1891930608
Name:ALBIS, EULALIO (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:EULALIO
Middle Name:
Last Name:ALBIS
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 DUNBAR AVENUE
Mailing Address - Street 2:
Mailing Address - City:DUNBAR
Mailing Address - State:WV
Mailing Address - Zip Code:25064
Mailing Address - Country:US
Mailing Address - Phone:304-768-3307
Mailing Address - Fax:304-768-3620
Practice Address - Street 1:1313 DUNBAR AVENUE
Practice Address - Street 2:
Practice Address - City:DUNBAR
Practice Address - State:WV
Practice Address - Zip Code:25064
Practice Address - Country:US
Practice Address - Phone:304-768-3307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVPT001049225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist