Individual
MRS. MARLA LITTLE FAULKENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
108 GATEWAY BLVD, SUITE 211-B, MOORESVILLE, NC 28117-5596
(704) 662-0386
Mailing address
787 BEATEN PATH RD, MOORESVILLE, NC 28117-8984
(704) 799-6542
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
548
NC
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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