Individual
EMILY MARYE CRONIN SANDIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 HORIZON DR STE 100, RALEIGH, NC 27615-4927
(919) 785-9356
Mailing address
305 NE LOOP 820; BUSINESS TOWER 1, SUITE 200, HURST, TX 76053
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8058
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A8058
PTA LICENSE
NC
Enumeration date
02/22/2023
Last updated
02/22/2023
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