Individual
JENNIFER GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2814 GRAY FOX RD, MONROE, NC 28110-8422
(704) 821-0568
(704) 821-0570
Mailing address
2814 GRAY FOX RD, MONROE, NC 28110-8422
(704) 821-0568
(704) 821-0570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6850
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7212640
—
NC
Enumeration date
07/17/2009
Last updated
06/12/2013
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