Individual
JENNIFER LILLIE COULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
257 W KINGS HWY, EDEN, NC 27288-5009
(336) 627-4263
(336) 627-4266
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
003357
WV
225100000X
Physical Therapist
Primary
—
NC
Other
Enumeration date
07/31/2014
Last updated
09/19/2016
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