Individual
JENNIFER N. THOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1730 KERNERSVILLE MEDICAL PKWY STE 201, KERNERSVILLE, NC 27284-7198
(336) 996-7001
(336) 996-0832
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8704
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8704
NC BOARD OF PT EXAMINERS
—
01
—
P00669284
RAILROAD MEDICARE
NC
Enumeration date
08/29/2006
Last updated
07/28/2021
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