Individual
JARED WILLARD MCGRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
207 MERCHANTS WALK, SUMMERSVILLE, WV 26651-1901
(304) 872-7498
(304) 872-8144
Mailing address
PO BOX 567, SUMMERSVILLE, WV 26651-0567
(304) 872-7498
(304) 872-8144
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 001528
WV
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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