Individual
JEFFREY NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
183 RIGHT FORK LAUREL CRK, LENORE, WV 25676-7013
(304) 784-7962
Mailing address
183 RIGHT FORK LAUREL CRK, LENORE, WV 25676-7013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00002373
WV
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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