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Individual

JASON STURGILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1631 RITTER DR, DANIELS, WV 25832-9264
(304) 763-3051
Mailing address
PO BOX 804, BEAVER, WV 25813-0804

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1735
WV

Other

Enumeration date
12/10/2012
Last updated
01/17/2013
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