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Individual

JERRICA ANNE STRAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1104 MILLER ST, GASTONIA, NC 28052-5228
(803) 757-3876
Mailing address
1104 MILLER ST, GASTONIA, NC 28052-5228
(803) 757-3876

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4695
SC
225200000X
Physical Therapy Assistant
A7568
NC

Other

Enumeration date
09/15/2021
Last updated
09/15/2021
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