Individual
FARHINBANU PATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5204 IVYSTONE LN, WINSTON SALEM, NC 27104-5052
(336) 929-1056
Mailing address
5204 IVYSTONE LN, WINSTON SALEM, NC 27104-5052
(336) 929-1056
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P15568
NC
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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