Individual
JESSICA HALEY BOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
301 CABBAGE INLET LN, WILMINGTON, NC 28409
(910) 670-3564
Mailing address
301 CABBAGE INLET LN, WILMINGTON, NC 28409
(910) 670-3564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P21892
NC
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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