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Individual

MARY BETH CORUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
978 ERVIN DR, LEXINGTON, NC 27292-6514
(336) 537-4074
Mailing address
978 ERVIN DRIVE, LEXINGTON, NC 27292
(336) 537-4074

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1371
NC

Other

Enumeration date
12/13/2010
Last updated
12/13/2010
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