Individual
JESSICA SPRUILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1341 PARADISE RD, EDENTON, NC 27932-8503
(252) 482-2538
Mailing address
924 OLD CHERRY RD, CRESWELL, NC 27928-9624
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1288
NC
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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