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1265169304
JASON FERTIG
BRIDGEPORT, WV
NPI
1265169304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WV 004539)
Enumeration Date
2022-08-08
Last Update Date
2022-08-08
Business Address
JASON FERTIG DPT
37 GRANDE MEADOWS DR STE 102
BRIDGEPORT, WV 26330-9035
Phone number: 304-592-2009
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Mailing Address
JASON FERTIG DPT
6000 HAMPTON CTR STE B
MORGANTOWN, WV 26505-1748
Phone number: 304-599-1500
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