Individual
EMILY MINNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
625 ASHLAND ST, ARCHDALE, NC 27263-2943
(336) 434-2902
Mailing address
625 ASHLAND ST, ARCHDALE, NC 27263-2943
(336) 434-2902
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5540
NC
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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