Organization
JACKSON CO PHYSICAL THERAPY INC
Active
Other names
JCPT
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACE JACINTO ODANIEL PT (CHIEF PHYSICAL THERAPIST)
(304) 372-7479
Entity
Organization
Contact information
Practice address
344 B S CHURCH ST, RIPLEY, WV 25271-1512
(304) 372-7479
(304) 372-7483
Mailing address
344 B S CHURCH ST, RIPLEY, WV 25271-1512
(304) 372-7479
(304) 372-7483
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
WV 727
WV
Other
Enumeration date
10/05/2006
Last updated
07/21/2008
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