Individual
JENNIFER DEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-3805
Mailing address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13072-24
WI
225100000X
Physical Therapist
Primary
P16972
NC
Other
Enumeration date
09/29/2016
Last updated
11/04/2019
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