Individual
MRS. JESSICA LEIGH BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
118 CATHERINE ST, BECKLEY, WV 25801-3208
(681) 220-1914
Mailing address
118 CATHERINE STREET, BECKLEY, WV 25801
(681) 220-1914
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1518
WV
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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