Individual
JACOB L MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3045 PENNSYLVANIA AVE, SUITE 8, WEIRTON, WV 26062-3770
(304) 723-7111
Mailing address
3045 PENNSYLVANIA AVE, SUITE 8, WEIRTON, WV 26062-3770
(304) 723-7111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3067
WV
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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