Individual
JARRETT PEARCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8830 VIRGINIA ST, AMELIA COURT HOUSE, VA 23002-4826
(804) 561-5611
Mailing address
3905 TERRENCE BAY CT APT 5, HENRICO, VA 23233-1234
(434) 222-9339
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604927
VA
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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