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Individual

JESSICA ANN MENTRUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
399 SILVER BLUFF RD STE B, AIKEN, SC 29803-6007
(803) 644-4264
(803) 226-0123
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8884
SC

Other

Enumeration date
01/04/2018
Last updated
03/17/2018
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