Tammy Baccus, PTA, DOR Valid NPI
Individual provider · Physical Therapy Assistant · Fuquay Varina, NC
- NPI
- 1912574765
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapy Assistant
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225200000X
- License number
- 3943 (NC)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2021-06-09
- Last updated
- 2021-06-09
Practice location
1221 Broad St
Fuquay Varina, NC 27526-3602
(919) 424-5080