Individual
JESSE CORINE NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
954 RIDGEBROOK RD STE 330, SPARKS GLENCOE, MD 21152-9440
(443) 212-5745
(443) 212-5749
Mailing address
954 RIDGEBROOK RD STE 330, SPARKS GLENCOE, MD 21152-9440
(443) 212-5745
(443) 212-5749
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28993
MD
225100000X
Physical Therapist
PT029701
PA
225100000X
Physical Therapist
PT029721
PA
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/03/2021
Last updated
02/23/2023
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