Individual
JESSICA LYNN MCENANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1669 NORWOOD RD, STATESVILLE, NC 28677-8201
(704) 746-9698
(704) 662-3304
Mailing address
249 WILLIAMSON RD, MOORESVILLE, NC 28117-8195
(704) 746-9698
(704) 662-3304
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14010
NC
235Z00000X
Speech-Language Pathologist
14010
NC
Other
Enumeration date
05/10/2021
Last updated
05/19/2021
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