Gragg, Heather Dawn

Gragg, Heather Dawn is an individual health care provider with primary practice located at 207 Merchants Walk , Summersville WV 26651. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gragg, Heather Dawn can be contacted via phone (304) 872-7498.

Contact Information

Primary practice address
207 Merchants Walk Summersville WV 26651
Phone: (304) 872-7498
Fax: (304) 872-8144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1902885981
LBN Legal business name Gragg, Heather Dawn
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902885981 NPPES
West Virginia MEDICAID 3810003510

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