Individual
MRS. JESSIE MATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
TRENT DRIVE, CLINIC 1E, DURHAM, NC 27710
(919) 684-2445
Mailing address
111 DONNA PL, CARY, NC 27513-5304
(919) 465-1305
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9357
NC
Other
Enumeration date
03/27/2007
Last updated
10/16/2008
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