Individual
JEANNE JOKINEN BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, OCS
Contact information
Practice address
232 BOONE HEIGHTS DR, SUITE A, BOONE, NC 28607-4926
(828) 262-9043
(828) 268-9045
Mailing address
PO BOX 2600, BOONE, NC 28607-2600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6012
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3400051
—
NC
Enumeration date
08/13/2007
Last updated
08/13/2007
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