Individual
COLEEN DODSON JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1900 W ALPHA CT APT 211, LECANTO, FL 34461-9198
(352) 249-7128
Mailing address
5540 CENTERVIEW DR STE 200-259, RALEIGH, NC 27606-3363
(770) 283-7554
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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