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Contact Information

LISA R ROLES, PTA
3875 ROBERT C BYRD DR
BECKLEY, WV25801
 Phone: 304-253-1960
 Fax: 304-253-3080
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for LISA R ROLES · (Female)

NPI # 1902966799
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 12/11/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 001053
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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