Basic Information
Provider Information
NPI: 1891056198
EntityType: 2
ReplacementNPI:  
OrganizationName: FIRST SETTLEMENT PHYSICAL THERAPY
LastName:  
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Mailing Information
Address1: 1500 GRAND CENTRAL AVE STE 101
Address2:  
City: VIENNA
State: WV
PostalCode: 261051079
CountryCode: US
TelephoneNumber: 3046932781
FaxNumber: 3046932171
Practice Location
Address1: 1445 E WHEELING AVE
Address2:  
City: CAMBRIDGE
State: OH
PostalCode: 43725
CountryCode: US
TelephoneNumber: 3042953060
FaxNumber: 3042953068
Other Information
ProviderEnumerationDate: 06/04/2012
LastUpdateDate: 04/10/2020
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: ROSS
AuthorizedOfficialFirstName: KATHRYN
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AuthorizedOfficialTitleorPosition: MANAGER
AuthorizedOfficialTelephone: 3046932781
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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NPICertificationDate: 04/10/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QP2000X  Y Ambulatory Health Care FacilitiesClinic/CenterPhysical Therapy

No ID Information.


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