Individual
JENNA MICHELLE ALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5160 OCEAN HWY W, SHALLOTTE, NC 28470-4012
(910) 332-3800
(910) 251-0421
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(910) 332-3800
(102) 510-4219
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2019029982
MO
225100000X
Physical Therapist
Primary
CP-CP029705T
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP-CP029705T
PT LICENSE
NC
Enumeration date
08/16/2019
Last updated
04/04/2024
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