Individual
MS. MAURA FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4687 BOYLSTON HWY, MILLS RIVER, NC 28759-6731
(828) 890-0040
Mailing address
22 HARDIE CT, HENDERSONVILLE, NC 28792-0104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7078
NC
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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