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Individual provider · Physical Therapy Assistant · Hertford, NC

NPI

1083245880

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

A7095 (NC)

Sex

Female

Sole proprietor

Yes

Enumerated

2020-01-30

Last updated

2020-01-30