Atha, Traci

Atha, Traci is an individual health care provider with primary practice located at 2673 Davisson Run Rd , Clarksburg WV 26301-6838. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Atha, Traci can be contacted via phone (304) 624-2424.

Contact Information

Primary practice address
2673 Davisson Run Rd Clarksburg WV 26301-6838
Phone: (304) 624-2424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 000849 West Virginia

Profile Details

NPI number 1659089415
LBN Legal business name Atha, Traci
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2022
Last updated Nov 10th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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