Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crab Orchard Medical Assoc Inc

Organization Physical Medicine & Rehabilitation Physician · NPI 1184705907

Crab Orchard Medical Assoc Inc is a Physical Medicine & Rehabilitation Physician in Crab Orchard, West Virginia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1769 Robert C Byrd Dr
Crab Orchard, WV 25827-1602
Phone: (304) 253-8336
Fax: (304) 253-8337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Urology Physician Taxonomy 208800000X

Record details

NPI number1184705907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mariza Lirio — Vice President · (304) 253-8336
NPI enumeratedOctober 18, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 1602, Crab Orchard, WV 25827-1602

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