Joanna Cecil

Individual provider Active NPI Physical Therapy Assistant · Follansbee, WV

NPI 1104376318 · NPPES record last updated Oct 12, 2016

Key facts

NPI
1104376318
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA 000839 (WV)
Practice address
840 Lee Rd
Follansbee, WV 26037-1783
Phone
(304) 527-1100
NPI assigned
Oct 12, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PTA 000839WVMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA 000839 WV Yes

Addresses

Primary practice location

840 Lee Rd
Follansbee, WV 26037-1783

Mailing address

1517 Rolling Acres Rd
New Cumberland, WV 26047-3040
Phone (386) 986-0062

Other providers in Follansbee, WV

All providers in Follansbee, WV · Physical Therapy Assistant in West Virginia

Sources for this page

Verify at the official NPI Registry.