Individual
EBONY CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RKT
Contact information
Practice address
1695 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC 27284-7159
(336) 515-5000
Mailing address
2126 ROBIN HOOD DR, DANVILLE, VA 24540-5802
(434) 250-5866
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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