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1013186378
JESSICA LEE WOOTEN
SUMMERVILLE, SC
NPI
1013186378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 5108)
Enumeration Date
2008-02-20
Last Update Date
2008-02-20
Business Address
MRS. JESSICA LEE WOOTEN P.T.
93B SPRINGVIEW LN
SUMMERVILLE, SC 29485-8154
Phone number: 843-875-4770
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Mailing Address
MRS. JESSICA LEE WOOTEN P.T.
100 E HARTWICK LN
GOOSE CREEK, SC 29445-7030
Phone number: 843-296-5893
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