Individual
CHRISTINE HOPE LATAINE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
503 N FAYETTEVILLE ST, ASHEBORO, NC 27203-4728
(336) 626-3700
Mailing address
4836 LOG CABIN RD, RAMSEUR, NC 27316-8511
(336) 964-9470
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A4731
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A4731
PHYSICAL THERAPIST ASSISTANT
NC
Enumeration date
08/04/2021
Last updated
08/04/2021
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