Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Jennifer Dell Pettus, PTA

Individual provider Physical Therapy Assistant · NPI 1366762791

MS. Jennifer Dell Pettus, PTA is a Physical Therapy Assistant in Bridgeport, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2010
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

415 Benedum Dr
Bridgeport, WV 26330
Phone: (304) 842-9887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 00001254 (WV)

Record details

NPI number1366762791
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJune 8, 2010
Last updated in NPPESJune 8, 2010

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