Individual
JESSICA RAYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8305 FALLS OF NEUSE RD STE 102, RALEIGH, NC 27615-3546
(919) 870-4444
Mailing address
8305 FALLS OF NEUSE RD STE 102, RALEIGH, NC 27615-3546
(919) 870-4444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
TBD
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TBD
NC PT BOARD OF EXAMINERS
NC
Enumeration date
09/14/2022
Last updated
09/14/2022
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