MRS. Jacqueline J Ross, PTA

NPI #1003940297 in Fort Ashby, West Virginia

Provider Information

NPI Number: 1003940297
Entity Type: Individual
Name: MRS. Jacqueline J Ross, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1 DIANE DR
City: Fort Ashby
State: West Virginia
ZIP Code: 26719-0686
Phone: (304) 298-3602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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