Individual
MS. JENNIFER DELL PETTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
415 BENEDUM DRIVE, BRIDGEPORT, WV 26330
(304) 842-9887
Mailing address
35 INVERNESS LANE, PARKERSBURG, WV 26104
(304) 483-1705
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00001254
WV
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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