Individual
DR. JESSICA LEIAN EASTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
300 BAKER LN, CHARLESTON, WV 25302-2900
(304) 346-2323
Mailing address
632 KANAWHA BLVD W, CHARLESTON, WV 25302-1922
(304) 539-2919
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003367
WV
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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