Individual
LEA ANNE FLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
311 W PHIFER ST, MARSHVILLE, NC 28103-1322
(704) 624-6643
(704) 624-2022
Mailing address
15038 BULL HILL RD, OAKBORO, NC 28129-9610
(704) 624-6643
(704) 624-2022
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1154
NC
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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