Whalio Doctors

NPI 1003940297

Jacqueline J Ross, PTA

Practitioner Physical Therapy Assistant Fort Ashby, WV

Practice location

Address
1 Diane Dr, Fort Ashby, WV 26719-0686
Phone
(304) 298-3602
Mailing address
PO Box 686, Fort Ashby, WV 26719-0686

Registered specialties (2)

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 0991 (WV)
Physical Therapy Assistant
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A2724 (MD)

Registry record

NPI
1003940297
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Mar 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.