Individual
JEANINE MARIE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1375 COWELL FARM RD, WASHINGTON, NC 27889-3495
(252) 975-4395
(252) 975-4112
Mailing address
3001 SATTERFIELD DR, GREENVILLE, NC 27834-0423
(252) 975-4395
(252) 975-4112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10064
NC
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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