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Individual

JESSICA LYNN HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
50 MULBERRY TREE ST, CHARLES TOWN, WV 25414-1274
(304) 724-1101
Mailing address
50 MULBERRY TREE ST, CHARLES TOWN, WV 25414-1274
(304) 724-1101

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 002285
WV

Other

Enumeration date
12/15/2016
Last updated
12/15/2016
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