Individual
MRS. ILONA KARIN EKSTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1700 PAMALEE DR, FAYETTEVILLE, NC 28301-2824
(910) 488-2295
Mailing address
432 GREENTREE DR, RAEFORD, NC 28376-6270
(910) 580-4874
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4061
NC
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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