Individual
JESSICA R ATHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
334 WINDY HILL DR, PRINCETON, WV 24739-8060
(304) 910-1711
Mailing address
334 WINDY HILL DR, PRINCETON, WV 24739-8060
(304) 910-1711
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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