Individual
JESSICA BRAUN CORNMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10516 PARK RD, CHARLOTTE, NC 28210-8405
(704) 541-9080
Mailing address
10516 PARK RD, CHARLOTTE, NC 28210-8405
(704) 541-9080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15205
NC
225100000X
Physical Therapist
PT28486
FL
Other
Enumeration date
11/17/2014
Last updated
07/16/2015
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