Individual
JESSICA DE VOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1350
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6761
SC
Other
Enumeration date
10/30/2015
Last updated
11/08/2019
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