Individual
MRS. KATHY MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
209 WEST 3RD STREET, PEMBROKE, NC 28372
(910) 522-1016
(910) 521-4722
Mailing address
209 WEST THIRD STREET, PEMBROKE, NC 28372
(910) 522-1016
(910) 521-4722
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2053
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7210663
—
NC
Enumeration date
05/23/2007
Last updated
07/08/2007
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