Individual
MRS. GWEN MARY VAN RYEN-SINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT/ATC
Contact information
Practice address
514 WILLIAMSON RD, SUITE 431, MOORESVILLE, NC 28117-9225
(704) 360-2595
(704) 360-2596
Mailing address
21221 BALTIC DR, CORNELIUS, NC 28031-6424
(704) 895-3359
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6449
NC
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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