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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRA KARAGODSKY

Active

MIRA KARAGODSKY is a Physical Therapy Assistant healthcare provider located in MEQUON, West Virginia. NPI 1942244041 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MEQUON, WV

Registration Details

NPI Number
1942244041
Provider Type
Individual
Gender
Female
NPI Issued
Jun 16, 2006 (20.178936159384 yrs)
Last Updated
Jul 8, 2007
License
9539024 (WI)

Practice Information

Address
13111 N PORT WASHINGTON RD
MEQUON, WV, 53024
Browse WV providers · Browse ZIP 53024
Phone
2622437465
Primary Specialty
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.