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Individual
JARED MARK FLETCHER
Active
Individual
JARED MARK FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, MOT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305209388
VA
2251X0800X
Orthopedic Physical Therapist
Primary
P15734
NC
225X00000X
Occupational Therapist
OT16107
FL
Other
Enumeration date
07/19/2015
Last updated
09/23/2015
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