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Individual

MRS. JENNIFER JACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
551 KENT ST, ANDREWS, NC 28901-8088
(828) 321-3075
Mailing address
PO BOX 1367, FRANKLIN, NC 28744-1367

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5214
NC

Other

Enumeration date
11/20/2013
Last updated
11/20/2013
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