Individual
MISS EMILY JANELLE GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
103 TOWNHOUSE DR APT C, WHITEVILLE, NC 28472-2546
(910) 260-2622
Mailing address
103 TOWNHOUSE DR APT C, WHITEVILLE, NC 28472-2546
(910) 260-2622
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4241
NC
Other
Enumeration date
10/22/2011
Last updated
10/22/2011
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