Individual
VANESSA DEIPARINE-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1501 E GREENVILLE ST, ANDERSON, SC 29621-2004
(864) 226-8356
Mailing address
811 CONCORD AVE, ANDERSON, SC 29621-1977
(864) 225-0212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5019
SC
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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