Individual
JENNIFER M PULISIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 N WASHINGTON HWY, ASHLAND, VA 23005-1623
(804) 798-1112
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305003363
VA
Other
Enumeration date
08/03/2021
Last updated
08/06/2021
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