Individual
LYNDSAY MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 598-1200
Mailing address
320 JONES AVE, BRIDGEPORT, WV 26330-1414
(301) 268-2427
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2758
WV
225100000X
Physical Therapist
Primary
PT2758
WV
Other
Enumeration date
07/14/2009
Last updated
11/04/2024
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