| Amy L Queen, PHYSICAL THERAPIST | |
|
60 Clarksburg Rd, Buckhannon, WV 26201-8400 | |
| (304) 472-0181 | |
| (304) 472-0192 |
| Full Name | Amy L Queen |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 60 Clarksburg Rd, Buckhannon, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871537381 | NPI | - | NPPES |
| 7304067000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 002082 (West Virginia) | Primary |
| Provider Name | Country Roads Physical Therapy And Rehabilitation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831147297 PECOS PAC ID: 5597835603 Enrollment ID: O20080602000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy L Queen, PHYSICAL THERAPIST 943 Maple Dr, Morgantown, WV 26505-2812 Ph: (304) 599-2515 | Amy L Queen, PHYSICAL THERAPIST 60 Clarksburg Rd, Buckhannon, WV 26201-8400 Ph: (304) 472-0181 |
Brittney Thomas, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 Buckhannon Xrds # 12, Buckhannon, WV 26201 Phone: 304-472-8510 | |
Danielle Heist, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 Buckhannon Xrds Ste 112, Buckhannon, WV 26201 Phone: 304-472-8510 | |
Jeffrey Sandy, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 Professional Arts Plaza Dr, Buckhannon, WV 26201 Phone: 304-642-9208 | |
Millicent Roscenne Atienza Mauleon, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 E Main St, Buckhannon, WV 26201 Phone: 304-473-6802 | |
Molly Chero, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1897 Spruce Fork Rd, Buckhannon, WV 26201 Phone: 304-613-9277 | |
Chet M Underwood, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Rr 2 Box 207-4, Buckhannon, WV 26201 Phone: 330-464-1400 | |
Thomas Fetter, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 120 Buckhannon Xrds Ste 112, Buckhannon, WV 26201 Phone: 304-472-8510 |