Individual
JARED MARK FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, MOT
Contact information
Practice address
3700 NW CARY PKWY STE 110, CARY, NC 27513-8446
(321) 749-3690
Mailing address
8300 HEALTH PARK STE 127, RALEIGH, NC 27615-4731
(321) 749-3690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305209388
VA
2251X0800X
Orthopedic Physical Therapist
Primary
P15734
NC
225X00000X
Occupational Therapist
OT16107
FL
Other
Enumeration date
07/19/2015
Last updated
09/23/2015
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