| NPI | 1508952649 |
|---|---|
| Other Name | JCPT |
| Entity Type | Organization |
| Authorized Contact | GRACE JACINTO ODANIEL Chief Physical Therapist 304-372-7479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV WV 727) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-07-21 |