Individual
JENNIFER CARLSON-LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1635 NC HIGHWAY 66 S STE 255, KERNERSVILLE, NC 27284-3855
(336) 992-4820
Mailing address
1635 NC HIGHWAY 66 S STE 255, KERNERSVILLE, NC 27284-3855
(336) 992-4820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
A5268
NC
225200000X
Physical Therapy Assistant
Primary
A5268
NC
Other
Enumeration date
05/28/2021
Last updated
02/28/2024
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