Individual
MS. KRISSA L WHARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 US HIGHWAY 17 S, ELIZABETH CITY, NC 27909-7628
(252) 338-3975
Mailing address
285 RIVERWOOD DR, HERTFORD, NC 27944-9669
(252) 340-5327
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4084
NC
Other
Enumeration date
08/03/2008
Last updated
08/03/2008
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