| Pmr Clinic | |
|
1504 Grand Central Ave Vienna WV 26105-1058 | |
| (304) 485-7500 | |
| (304) 485-6777 |
| Full Name | Pmr Clinic |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1504 Grand Central Ave, Vienna, West Virginia |
| Authorized Official Name and Position | Sandya Rani Kalapala (OFFICE MANAGER) |
| Authorized Official Contact | 3044857500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pmr Clinic 2323 Murdoch Ave Parkersburg WV 26101-2532 Ph: (304) 485-7500 | Pmr Clinic 1504 Grand Central Ave Vienna WV 26105-1058 Ph: (304) 485-7500 |
| NPI Number | 1861549941 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 02/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861549941 | NPI | - | NPPES |
| 0078260000 | Medicaid | WV | |
| 0203567000 | Medicaid | WV |
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