Basic Information
| Provider Information | |||||||||
| NPI: | 1487075503 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CONTRAGUERRO | ||||||||
| FirstName: | APRIL | ||||||||
| MiddleName: | RENEE | ||||||||
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| Credential: | PT, DPT | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | ROTILIO | ||||||||
| OtherFirstName: | APRIL | ||||||||
| OtherMiddleName: | RENEE | ||||||||
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| OtherCredential: | PT, DPT | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1212 GARFIELD AVE | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | PARKERSBURG | ||||||||
| State: | WV | ||||||||
| PostalCode: | 261013247 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3048656778 | ||||||||
| FaxNumber: | 3048657400 | ||||||||
| Practice Location | |||||||||
| Address1: | 620 NATIONAL RD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | WHEELING | ||||||||
| State: | WV | ||||||||
| PostalCode: | 260036560 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3042305601 | ||||||||
| FaxNumber: | 3042305603 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/16/2013 | ||||||||
| LastUpdateDate: | 12/16/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT003170 | WV | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.