Individual
MRS. JENNIFER POPPE CONGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1501 N BICKETT BLVD, SUITE F, LOUISBURG, NC 27549-2178
(919) 497-8414
(919) 497-8478
Mailing address
191 WOODCREST DR, YOUNGSVILLE, NC 27596-8677
(919) 618-1770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6088
NC
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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