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Jennifer Melissa Newsom, PT
Pediatric Physical Therapist in Goose Creek, South Carolina
NPI 1700131802

Jennifer Melissa Newsom is a Pediatric Physical Therapist based in Mount Pleasant, SC and is specialized in Pediatrics. Jennifer Melissa Newsom practices in Goose Creek, SC and has the professional credentials of PT. The NPI Number for Jennifer Melissa Newsom is 1700131802 and holds a License No. PT 6673 (South Carolina).

The current practice location address for Jennifer Melissa Newsom is 120C Springhall Dr, Goose Creek, SC and can be reached out via phone at 843-216-0290.

Location: 120C Springhall Dr, Goose Creek, SC, 29464-8258
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700131802
Provider Name
Jennifer Melissa Newsom
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
120C Springhall Dr, Goose Creek, SC, 29464-8258
Phone Number
843-216-0290
Fax Number
Provider Enumeration Date
07/16/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5T910 01 AR BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
120C Springhall Dr
City
Goose Creek
State
South Carolina
Zip
29445-5335
Phone Number
843-216-0290
Fax Number
person
Provider Business Mailing Address Details
Address
120C Springhall Dr
City
Goose Creek
State
South Carolina
Zip
29445-5335
Phone Number
843-216-0290
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
PT 6673 (South Carolina)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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