Individual
KAMIKA FORNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6334 IVORY PALM DR, CHARLOTTE, NC 28227-2433
(980) 729-0215
Mailing address
6334 IVORY PALM DR, CHARLOTTE, NC 28227-2433
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3573
NC
Other
Enumeration date
12/19/2015
Last updated
12/19/2015
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