Individual
VELLESSIA ANNETTE CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
111 HARRELSON RD, CHERRYVILLE, NC 28021
(704) 435-0108
Mailing address
8520-7 WATTS DRIVE, CONNELLY SPRINGS, NC 28612
(828) 397-6852
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3279
NC
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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