Individual
ALLISON PEDDYCORD GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5380 US HIGHWAY 158 STE 205, ADVANCE, NC 27006-6974
(336) 940-6415
(336) 940-6410
Mailing address
5380 US HIGHWAY 158 STE 205, ADVANCE, NC 27006-6974
(336) 940-6415
(336) 940-6410
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3871
NC
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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