Tracey Harris PTA

NPI 1205093218 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1205093218
Gender Female
Enumeration Date 05/19/2008
Last Updated 05/19/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
801 GREENHAVEN DR
GREENSBORO NC, 27406-7103, US
Phone (336) 851-9312
Fax
Business Location
2617 SIR WALTER RD
GREENSBORO NC, 27405-5453, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State North Carolina
License Number 3400
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According to our database, Mrs. Tracey Harris PTA NPI is 1205093218, taxonomy code is 225200000X and license number is 3400, license state is located at North Carolina. Tracey Harris PTA physically located at 801 Greenhaven Dr, Greensboro NC, 27406-7103. NPI Number Tracey Harris PTA has the Individual type.

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1205093218 NPI number is provided on an as is basis without warranty of any kind. 1205093218 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey Harris PTA are for informational purposes only.