Individual
JACLYN GRACE MOUNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5585 N CROATAN HWY, KITTY HAWK, NC 27949-3996
(252) 261-1556
Mailing address
241 BURRUS RD, WANCHESE, NC 27981-9406
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P23271
NC
Other
Enumeration date
06/05/2024
Last updated
07/11/2024
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