Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | PTA0001273 | WV |
NPI | 1003933052 |
---|---|
Provider Name | Mrs. Jeanette Gail Starkey |
First Address | Parkersburg, WV 26101-5948 |
Second Address | Spencer, WV 25276-1035 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 08/07/2007 |