Individual
JENNIFER LYNN MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
733 PLANTATION ESTATES DR, MATTHEWS, NC 28105-9116
(704) 845-5900
Mailing address
11019 KING GEORGE LANE, WAXHAW, NC 28173
(704) 243-0660
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3723
NC
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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