Individual
JENNIFER BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
116 CAINHOY LANDING RD, WANDO, SC 29492-7801
(843) 442-7232
(843) 881-4001
Mailing address
116 CAINHOY LANDING RD, WANDO, SC 29492-7801
(843) 442-7232
(843) 881-4001
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3167
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1208
—
SC
Enumeration date
08/31/2006
Last updated
07/08/2007
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