Individual
JEAN CARLSON HADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
115 LOFTIN LN, AHOSKIE, NC 27910-3449
(252) 209-0901
Mailing address
115 LOFTIN LN, AHOSKIE, NC 27910-3449
(252) 209-0901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P2104
NC
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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