Individual
JASON ISAAC MALCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5447 MAPLE LN, FAYETTEVILLE, WV 25840-6872
(304) 574-1141
Mailing address
68 MALCOMB DR, SUMMERSVILLE, WV 26651-1283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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