Individual
JENNY LEWELLEN VAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, CPT
Contact information
Practice address
500 E RHODE ISLAND AVE, SOUTHERN PINES, NC 28387-4010
(206) 851-1309
Mailing address
335 W IOWA AVE, SOUTHERN PINES, NC 28387-5814
(206) 851-1309
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60461847
WA
225100000X
Physical Therapist
Primary
P20118
NC
Other
Enumeration date
04/20/2015
Last updated
03/03/2026
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