Individual
JESSICA LYNN BALSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, OCS
Contact information
Practice address
1605 GRAND CENTRAL AVE, VIENNA, WV 26105-1081
(304) 295-7290
(304) 295-5922
Mailing address
415 36TH ST, SUITE 100, PARKERSBURG, WV 26101-1005
(304) 917-3660
(304) 917-3674
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002657
WV
225100000X
Physical Therapist
PT016087
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2826240
—
OH
05
—
3810011111
—
WV
01
—
P00609422
RAILROAD MEDICARE
—
Enumeration date
10/17/2007
Last updated
11/05/2022
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