Individual
JENNIFER MARIE O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
364 RIVERVIEW AVE, LOGAN, WV 25601-3428
(304) 752-4443
(304) 752-8802
Mailing address
364 RIVERVIEW AVE, LOGAN, WV 25601-3428
(304) 752-4443
(304) 752-8802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002849
WV
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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