Individual
HEATHER JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATP
Contact information
Practice address
4405 SARDIS CHURCH RD, MONROE, NC 28110-7998
(704) 575-2670
(704) 553-7587
Mailing address
4521 HAMPTONRIDGE DR, APT. 202, CHARLOTTE, NC 28210-4319
(704) 321-4574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11226
NC
225100000X
Physical Therapist
870575
DC
Other
Enumeration date
12/19/2006
Last updated
09/12/2007
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