Individual
MRS. JENNIFER LYN SHEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
240 ANN ST, FAYETTEVILLE, NC 28301-5543
(910) 484-7660
Mailing address
10 NORMANDY DR, FORT BRAGG, NC 28307-3479
(845) 537-5719
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
006135
NY
225200000X
Physical Therapy Assistant
2005037324
MO
225200000X
Physical Therapy Assistant
Primary
3535
NC
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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