Tonya Theresa Mack LPTA

NPI 1003949116 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1003949116
Gender Female
Enumeration Date 03/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
13180 DORMAN RD
PINEVILLE NC, 28134-9327, US
Phone (704) 542-0312
Fax (704) 542-0313
Business Location
2206 WOODWAY HILLS DR APT 1825
MATTHEWS NC, 28105-1608, US
Phone (704) 719-4765
Fax
Toxanomy
Taxonomy Code 225200000X
License State North Carolina
License Number 3514
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According to our database, Ms. Tonya Theresa Mack LPTA NPI is 1003949116, taxonomy code is 225200000X and license number is 3514, license state is located at North Carolina. Tonya Theresa Mack LPTA physically located at 13180 Dorman Rd, Pineville NC, 28134-9327. NPI Number Tonya Theresa Mack LPTA has the Individual type.

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1003949116 NPI number is provided on an as is basis without warranty of any kind. 1003949116 is maintained by the National Plan & Provider Enumeration System. The contents of Tonya Theresa Mack LPTA are for informational purposes only.