Vicky Lynne Mcinnis PTA

NPI 1790811958 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1790811958
Gender Female
Enumeration Date 02/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1328 N LAKE PARK BLVD
SUITE 108
CAROLINA BEACH NC, 28428-3935, US
Phone (910) 458-8884
Fax (910) 458-3976
Business Location
611 HARPER AVE
CAROLINA BEACH NC, 28428-4314, US
Phone (910) 458-8569
Fax
Toxanomy
Taxonomy Code 225200000X
License State North Carolina
License Number 3072
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According to our database, Mrs. Vicky Lynne Mcinnis PTA NPI is 1790811958, taxonomy code is 225200000X and license number is 3072, license state is located at North Carolina. Vicky Lynne Mcinnis PTA physically located at 1328 N Lake Park Blvd, Carolina Beach NC, 28428-3935. NPI Number Vicky Lynne Mcinnis PTA has the Individual type.

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1790811958 NPI number is provided on an as is basis without warranty of any kind. 1790811958 is maintained by the National Plan & Provider Enumeration System. The contents of Vicky Lynne Mcinnis PTA are for informational purposes only.