Individual
JESSICA MARIE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
105 HARTH PL STE B, SUMMERVILLE, SC 29485-8107
(843) 594-3165
Mailing address
3000 CYPRESS LAKE RD APT 3202, NORTH CHARLESTON, SC 29420-8996
(864) 382-1628
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
12792
SC
2251P0200X
Pediatric Physical Therapist
1406127
TX
Other
Enumeration date
02/24/2025
Last updated
03/28/2025
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