Individual
MR. JEFFREY SAMUEL DEGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
170 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 765-7058
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
(336) 765-7058
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P10781
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
397730042
NSC #
NC
Enumeration date
03/28/2007
Last updated
02/13/2025
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