Individual
MRS. DEBRA JOAN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
3200 NORTHLINE AVE, SUITE 200, GREENSBORO, NC 27408-7616
(336) 544-3905
(336) 544-3936
Mailing address
8404 NEWGATE TRACE, BROWNS SUMMIT, NC 27214-9088
(336) 337-5883
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1241
NC
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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