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51D0720059 CLIA NUMBER - MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC

Laboratory Demographics

CLIA Number: 51D0720059

Facility Name: MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC

Facility Address:
120 MEDICAL PARK DRIVE SUITE 200
BRIDGEPORT, WV
ZIP 26330
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Facility Phone Number: (304) 624-7200

Facility Type: OTHER PRACTITIONER

Certificate Type: Certificate of Compliance
NPI Number: 1437643061

Taxonomy: 261QP2000X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

CLIA Record

Field Name Field Value
CLIA Number 51D0720059
LAB Type OTHER PRACTITIONER
Facility Name MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC
Street 120 MEDICAL PARK DRIVE SUITE 200
City BRIDGEPORT
State WV
ZIP 26330
Phone (304) 624-7200

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This page was last updated on: 5/11/2023