Individual
JESSICA DENISE FORTUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
620 JOHNS RD, LAURINBURG, NC 28352-5128
(910) 276-8400
Mailing address
20 LAKE ST, TUPPER LAKE, NY 12986-1604
(518) 524-2603
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
047491
NY
225100000X
Physical Therapist
P23923
NC
Other
Enumeration date
09/24/2021
Last updated
04/10/2025
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