Individual
JENNIFER FOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1721 BALD HILL LOOP, MADISON, NC 27025-7624
(336) 548-9658
Mailing address
1845 BEESON PARK LN, KERNERSVILLE, NC 27284-6528
(336) 686-8499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P12173
NC
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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