Individual
JESSICA ROADMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 BEASLEY ST, KENANSVILLE, NC 28349-8727
(910) 296-1561
Mailing address
209 BEASLEY ST, KENANSVILLE, NC 28349-8727
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6249
NC
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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