-- CAROL DESLAURIERS -- PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1174988893- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 201 COOPERS RUN RD, CAPON BRIDGE, WV, 267119538
- Phone
- (540) 532-9124
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: VA #2306604258
All Addresses
MAILING
201 COOPERS RUN RD
CAPON BRIDGE, WV, 267119538