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Contact Information

JENNIFER C CREDLE, PT
3100 NC HWY 55
SUITE 102
CARY, NC27519-8427
 Phone: 919-363-5000
 Fax: 919-363-5346
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JENNIFER C CREDLE · (Female)

NPI # 1013066414
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 01/09/2007
Last updated 02/09/2017 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2215
  • NC License # P2215
  • NC Other 0786I BCBS PROVIDER NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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