Individual
BRIANA HENTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
C 1722 TAGATY ST, FT. LIBERTY, NC 28307
(910) 907-6872
Mailing address
115 GROVER PL, CAMERON, NC 28326-6212
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7524
NC
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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