Individual
JESSICA D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2814 GRAY FOX RD, MONROE, NC 28110-8422
(704) 821-0568
(704) 821-0570
Mailing address
2814 GRAY FOX RD, INDIAN TRAIL, NC 28079
(704) 821-0568
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013497
OH
Other
Enumeration date
10/31/2011
Last updated
06/25/2021
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