Individual
JEAN MINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3018 S FAIRWAY DR, BURLINGTON, NC 27215-4631
(336) 584-1722
Mailing address
3018 S FAIRWAY DR, BURLINGTON, NC 27215-4631
(336) 584-1722
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
P1189
NC
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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