Individual
MRS. GIZELLA H LASALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1087 13TH ST SE, HICKORY, NC 28602-4165
(828) 267-1688
Mailing address
5467 THREE SISTERS LN, CATAWBA, NC 28609-9083
(904) 386-8946
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P17027
NC
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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