Individual
JENNIFER PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13600 S TRYON ST, CHARLOTTE, NC 28278-7623
(704) 692-8827
Mailing address
311 VALANTI LN, BELMONT, NC 28012-7634
(704) 692-8827
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12048
NC
Other
Enumeration date
08/18/2019
Last updated
08/18/2019
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