Individual
JESKELL CREECY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3206 SUNSET AVE APT K4, ROCKY MOUNT, NC 27804-3515
(919) 641-3998
Mailing address
3206 SUNSET AVE APT K4, ROCKY MOUNT, NC 27804-3515
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5941
NC
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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