Jason Isaac Malcomb, DPT

NPI #1275225047 in Fayetteville, West Virginia

Provider Information

NPI Number: 1275225047
Entity Type: Individual
Name: Jason Isaac Malcomb, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: May 22, 2023
Last Updated: May 22, 2023

Practice Location

Address: 5447 MAPLE LN
City: Fayetteville
State: West Virginia
ZIP Code: 25840-6872
Phone: (304) 574-1141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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