Individual
MS. JENNIFER LEE PELTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
171 ASHLEY AVE, MSC 622, CHARLESTON, SC 29425-8900
(843) 792-8147
(843) 792-3674
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1053
SC
Other
Enumeration date
04/14/2006
Last updated
04/14/2011
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