Individual
JESSICA MARIE RUSSELL TOMKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5501 WELKIN CT, DURHAM, NC 27713-2023
(864) 752-7464
Mailing address
5501 WELKIN CT, DURHAM, NC 27713-2023
(864) 752-7464
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P19209
NC
Other
Enumeration date
07/01/2020
Last updated
10/04/2023
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