Individual
DR. JACQUELINE JUDITH GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
200 FORT PIERPONT DR STE 105, MORGANTOWN, WV 26508-1327
(304) 241-7667
(304) 241-7667
Mailing address
200 FORT PIERPONT DR STE 105, MORGANTOWN, WV 26508-1327
(304) 241-7667
(304) 241-7568
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004039
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124806831
—
WV
01
—
1912546789
INDIVIUAL NPI
WV
01
—
PT004039
LICENSE TO PRACTICE (PT IN WV)
WV
Enumeration date
12/27/2019
Last updated
04/10/2024
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