Individual
JACLYN KAY KNOWLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BLAKE BLVD, PINEHURST, NC 28374-8474
(910) 295-6158
Mailing address
306 BOYD LN, SOUTHERN PINES, NC 28387-7302
(303) 319-2242
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6733
NC
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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