Individual
JESSIE FORD WHITED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 POCAHONTAS TRL, WHITE SULPHUR SPRINGS, WV 24986-9793
(304) 536-4661
Mailing address
345 POCAHONTAS TRL, WHITE SULPHUR SPRINGS, WV 24986-9793
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002420
WV
Other
Enumeration date
02/28/2018
Last updated
09/14/2022
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