Individual
JENNINE MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 CONCORD LAKE RD, KANNAPOLIS, NC 28083-6434
(704) 933-3781
Mailing address
1810 CONCORD LAKE RD, KANNAPOLIS, NC 28083-6434
(704) 933-3781
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P100037
NC
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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