NPI 1003940297
Jacqueline J Ross, PTA
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
Physical Therapy Assistant
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.