Organization
DOCTOR OF PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEASIA NICOLE JENKINS PT, DPT (OWNER)
(910) 914-6161
Entity
Organization
Contact information
Practice address
34 HILL PLZ, WHITEVILLE, NC 28472-4950
(910) 914-6161
(910) 685-7759
Mailing address
2450 OTTO NANCE RD, CERRO GORDO, NC 28430-0242
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
03/29/2019
Last updated
02/07/2024
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