Individual
JENIFER GAYLE PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3016 LONGTOWN COMMONS DR STE 115, COLUMBIA, SC 29229-7849
(803) 314-0529
(803) 314-0543
Mailing address
33 BALDUR CT, COLUMBIA, SC 29229-6503
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5254
SC
Other
Enumeration date
01/14/2021
Last updated
03/11/2021
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