Individual
MRS. JACLYN ANN POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5011 WEDDINGTON RD STE 50, CONCORD, NC 28027-9037
(980) 248-1211
Mailing address
5011 WEDDINGTON RD STE 50, CONCORD, NC 28027-9037
(980) 248-1211
(703) 471-0247
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305207809
VA
225100000X
Physical Therapist
Primary
P18923
NC
225100000X
Physical Therapist
PT871313
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679848667
PHYSICAL THERAPY
NC
Enumeration date
03/09/2012
Last updated
08/06/2019
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