Individual
JERRY TEDDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
100 RICEVILLE RD, ASHEVILLE, NC 28805-2122
(828) 299-1110
Mailing address
PO BOX 1446, LEICESTER, NC 28748-1446
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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