Individual provider · Type 1 NPI

Jennifer Dell Pettus, PTA

Physical Therapy Assistant · Bridgeport, WV

NPI number 1366762791 Active

Practice location

415 Benedum Drive
Bridgeport, WV 26330

Mailing address

35 Inverness Lane
Parkersburg, WV 26104

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X00001254 (WV)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1366762791

Jennifer Dell Pettus, PTA's National Provider Identifier is 1366762791, issued on Jun 8, 2010. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bridgeport, WV. The record was last updated on Jun 8, 2010.