Individual
DARLA L JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2206 RIDGE CREST LN, MOUNT AIRY, NC 27030-2483
(336) 786-9132
(336) 786-9153
Mailing address
333 HOWARD ST, MOUNT AIRY, NC 27030-2933
(336) 789-9173
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
829
NC
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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