Individual
BILLIE BULLARD ROYALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 W PARK DR STE 102, NORTH WILKESBORO, NC 28659-3777
(336) 903-9293
(336) 903-9295
Mailing address
1475 TRAPHILL UNION RD, TRAPHILL, NC 28685-9044
(336) 984-6437
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5607
NC
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/22/2021
Last updated
08/18/2021
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