Individual
JENNA PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 299-6042
Mailing address
3333 ELLSWORTH DR UNIT A, GREENVILLE, NC 27834-4945
(252) 299-6042
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P19535
NC
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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