Individual
REBECCA FORTUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 LEONARD AVE, NEWTON, NC 28658-9649
(877) 637-7941
Mailing address
289 CORONA CIR, MOORESVILLE, NC 28117-4380
(704) 953-5268
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6688
NC
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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