Individual
MARINA WARNECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 S MAIN ST, WAKE FOREST, NC 27587-9646
(919) 554-8768
Mailing address
137 DAISY MEADOW LN, WAKE FOREST, NC 27587-3330
(321) 217-2282
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7363
NC
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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