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Jessica Suzanne Whitaker, PT

Physical Therapist in Tega Cay, SC. Individual provider (NPI-1).

NPI number1427428366
StatusActive
Last updated in NPPESOct 5, 2015

Details

NPI
1427428366
Entity type
Individual (NPI-1)
Name
Jessica Suzanne Whitaker
Credential
PT
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 5, 2015
Last updated
Oct 5, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist4183SCYes

Practice location

303 Calming Way
Tega Cay, SC 29708-8241

Phone 704-771-9094

Mailing address

303 Calming Way
Tega Cay, SC 29708-8241

Phone 704-771-9094

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