Individual
JESSE XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
217 AUTUMN GLEN DR, SPARTANBURG, SC 29303-4307
(864) 529-5864
Mailing address
217 AUTUMN GLEN DR, SPARTANBURG, SC 29303-4307
(864) 529-5864
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3438
SC
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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