Individual
RICHARD ALLEN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
105 TIMBERWOOD LN, CLYDE, NC 28721-8108
(828) 246-2403
Mailing address
105 TIMBERWOOD LN, CLYDE, NC 28721-8108
(828) 246-2403
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2577
NC
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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