Christine K Altizer, PTA

Individual provider Active NPI Physical Therapy Assistant · Ronceverte, WV

NPI 1619669587 · NPPES record last updated May 22, 2023

Key facts

NPI
1619669587
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
001337 (WV)
Practice address
8942 Seneca TRL S
Ronceverte, WV 24970-8374
Phone
(130) 464-5747
NPI assigned
May 22, 2023
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
001337WVMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 001337 WV Yes

Addresses

Primary practice location

8942 Seneca TRL S
Ronceverte, WV 24970-8374

Mailing address

8942 Seneca TRL S
Ronceverte, WV 24970-8374
Phone (304) 645-7474

Other providers in Ronceverte, WV

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

Sources for this page

Verify at the official NPI Registry.