Individual
MRS. JOAN WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1206 N FULTON ST, RAEFORD, NC 28376-1926
(910) 875-4280
Mailing address
1841 ANDREWS RD, RED SPRINGS, NC 28377-8441
(910) 308-5698
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4226
NC
Other
Enumeration date
05/14/2016
Last updated
05/14/2016
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