PUNNAMMA MEMORIAL REHAB CLINIC
Organization (NPI-2)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1861549941- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1504 GRAND CENTRAL AVE, VIENNA, WV, 261051058
- Phone
- (304) 485-7500
- Fax
- (304) 485-6777
Specialties & Taxonomies
Internal Medicine
License: WV #20619
Internal Medicine
License: WV #21321
Physical Medicine & Rehabilitation
Primary License: WV #17059