Individual
MARY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
209 LAURA SPRINGS DR, SALISBURY, NC 28146-7216
(704) 636-3008
Mailing address
209 LAURA SPRINGS DR, SALISBURY, NC 28146-7216
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3599
NC
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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