-- LARRY NICKOLAS FERGUSON -- PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1093183956- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 300 SEVILLE RD, HURRICANE, WV, 255269206
- Phone
- (304) 757-6805
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: WV #002142