Individual
DR. JENNIFER ANNSCHULTHEIS O'DONOGHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LAT, ATC, CSCS
Contact information
Practice address
2608 FISHER CT N, WILSON, NC 27896-8951
(252) 399-6377
Mailing address
2608 FISHER CT N, WILSON, NC 27896-8951
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0641
NC
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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