Individual
JENNA MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 HARBERT DR, GRAFTON, WV 26354-7526
(304) 677-9561
Mailing address
74 HARBERT DR, GRAFTON, WV 26354-7526
(304) 677-9561
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
WV
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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