Individual
MRS. JESSICA MILLS HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11030 RAVEN RIDGE RD STE 101, RALEIGH, NC 27614-8512
(919) 844-6611
(919) 844-6612
Mailing address
11030 RAVEN RIDGE RD STE 101, RALEIGH, NC 27614-8512
(919) 844-6611
(919) 844-6612
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
10752
NC
225100000X
Physical Therapist
Primary
10752
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7212138
—
NC
Enumeration date
09/25/2006
Last updated
08/02/2024
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