Mrs. Jacqueline J Ross
Physical Therapy Assistant
1 Diane Dr
Fort Ashby
, West Virginia 26719-0686
Mrs. Jacqueline J Ross
Physical Therapy Assistant
1 Diane Dr
Fort Ashby
, West Virginia 26719-0686
(304) 298-3602
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Mrs. Jacqueline J Ross
- Po Box 686
- Fort Ashby, WV
- Zip : 26719-0686
- Phone : (304) 298-3602
Second Address
- Mrs. Jacqueline J Ross
- 1 Diane Dr
- Fort Ashby, WV
- Zip : 26719-0686
- Phone : (304) 298-3602
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 0991 | WV |
| N | 225200000X | Physical Therapy Assistant | A2724 | MD |
National Provider Identifier
| NPI | 1003940297 |
|---|---|
| Provider Name | Mrs. Jacqueline J Ross |
| First Address | Fort Ashby, WV 26719-0686 |
| Second Address | Fort Ashby, WV 26719-0686 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/03/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0991 | PHYSICAL THERAPIST ASSIST (01) | WV |
| A2724 | PHYSICAL THERAPIST ASSIT (01) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.