Individual
JENNIFER DELORIS HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
199 COURT ST, JANE LEW, WV 26378-8548
(304) 884-7811
(304) 884-7057
Mailing address
791 TRACTION AVE, MONONGAH, WV 26554-1132
(304) 838-4073
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000568
WV
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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