Individual
JENNIFER VESPA MCGRANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
439 CHANNEL RD, LAKE WYLIE, SC 29710-6102
(803) 746-7800
Mailing address
10707 ANGLESEY CT, CHARLOTTE, NC 28278-8448
(704) 707-3763
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11379
NC
225100000X
Physical Therapist
Primary
5813
SC
Other
Enumeration date
01/21/2008
Last updated
03/01/2011
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