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Individual

JENNY PAOLA AVELLANEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
601 SUTTON RD S, FORT MILL, SC 29715-8439
(803) 909-6447
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
(704) 323-3611

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10966
SC

Other

Enumeration date
11/15/2021
Last updated
01/31/2025
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