Individual
SARAH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
162 GOOD TURN RD, CLARKSBURG, WV 26301-5734
(304) 619-3018
Mailing address
PO BOX 4204, CLARKSBURG, WV 26302-4204
(304) 619-3018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 003205
WV
Other
Enumeration date
12/02/2015
Last updated
10/07/2024
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