Individual
ALLISON NANCE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2000 W MAIN ST STE C, ALBEMARLE, NC 28001-5446
(704) 984-2778
Mailing address
28782 CANTON RD APT A, ALBEMARLE, NC 28001-8155
(704) 984-2778
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6508
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720545213
—
NC
Enumeration date
02/21/2019
Last updated
03/23/2022
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