Individual
AMBER WELBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 RIDGE CREST LN, MOUNT AIRY, NC 27030-2457
(336) 786-9100
Mailing address
465 LUZELLE DR, WINSTON SALEM, NC 27103-6465
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3820
NC
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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