Individual
JESSICA MARTIN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
11550 COMMON OAKS DR, SUITE 100, RALEIGH, NC 27614-7298
(919) 453-5740
(919) 453-5741
Mailing address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 313-1276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13356
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13356
NC PT LICENSE NUMBER
NC
Enumeration date
10/20/2011
Last updated
10/20/2011
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