Individual
JESSICA E BOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3942 DAVIS STUART RD STE 3, RONCEVERTE, WV 24970-0269
(304) 647-3987
(304) 647-3990
Mailing address
3942 DAVIS STUART RD STE 3, RONCEVERTE, WV 24970-0269
(304) 647-3987
(304) 647-3990
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2537
WV
225100000X
Physical Therapist
CP011718T
VA
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004657
—
WV
01
—
550755833
WV WORKERS COMP
WV
Enumeration date
10/31/2006
Last updated
07/25/2025
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