NPI 1154634889

Jesseca Lynn Full, PTA

Practitioner Physical Therapy Assistant Spencer, WV

Practice location

Address: 200 Hospital Dr, Spencer, WV 25276-1050
Phone: (304) 927-4444
Mailing address: Rr 2 Box 24a, Elizabeth, WV 26143-9767

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA 001094 (WV)

Other Physical Therapy Assistant providers in West Virginia →

Registry record

NPI: 1154634889
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2010
Record last updated: 22 Jul 2010

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.