-- TANNOR RAY DECKER --
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1942180740- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 501 CALDWELL LN, DUNBAR, WV, 250642026
- Phone
- (304) 744-4761
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: WV #002829
All Addresses
MAILING
501 CALDWELL LN
DUNBAR, WV, 250642026