Individual
JACLYN ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310-0001
(910) 907-7786
Mailing address
1965 GOLF COURSE RD, RAEFORD, NC 28376-2284
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7515
NC
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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