Individual
SANDRA NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
171 NC HIGHWAY 25, ROANOKE RAPIDS, NC 27870
(252) 537-5631
(919) 313-1276
Mailing address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 313-1276
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A292
NC
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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