Individual
JESSICA WARD MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1918 WILMORE WALK DR, CHARLOTTE, CHARLOTTE, NC 28203-4531
(843) 450-7699
Mailing address
3939 SUSSEX AVE, CHARLOTTE, CHARLOTTE, NC 28210-6255
(843) 450-7699
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2736
SC
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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