Lone Grenaa Weatherman PTA

NPI 1780082875 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1780082875
Gender Female
Enumeration Date 12/05/2014
Last Updated 12/05/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
358 GLADE VALLEY RD
GLADE VALLEY NC, 28627-9103, US
Phone (336) 572-2588
Fax
Business Location
358 GLADE VALLEY RD
GLADE VALLEY NC, 28627-9103, US
Phone (336) 572-2588
Fax
Toxanomy
Taxonomy Code 225200000X
License State North Carolina
License Number A5160
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According to our database, Lone Grenaa Weatherman PTA NPI is 1780082875, taxonomy code is 225200000X and license number is A5160, license state is located at North Carolina. Lone Grenaa Weatherman PTA physically located at 358 Glade Valley Rd, Glade Valley NC, 28627-9103. NPI Number Lone Grenaa Weatherman PTA has the Individual type.

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1780082875 NPI number is provided on an as is basis without warranty of any kind. 1780082875 is maintained by the National Plan & Provider Enumeration System. The contents of Lone Grenaa Weatherman PTA are for informational purposes only.