Individual
MONIQUE PREBENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
230 N. CAMDEN RD, WINGATE, NC 28174
(704) 233-8165
Mailing address
PO BOX 5002, WINGATE, NC 28174-1222
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2354
NC
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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