Individual
MS. JESSICA JEANIE TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 WASHINGTON AVE, WHEELING, WV 26003-6243
(304) 243-2000
Mailing address
17 MASER AVE, WHEELING, WV 26003-7246
(304) 312-5120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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