Individual
KATHERINE A TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
170 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 768-1270
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-3820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P18604
NC
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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