Individual
MS. TONYA THERESA MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
13180 DORMAN RD, PINEVILLE, NC 28134-9327
(704) 542-0312
(704) 542-0313
Mailing address
2206 WOODWAY HILLS DR APT 1825, MATTHEWS, NC 28105-1608
(704) 719-4765
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3514
NC
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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