Individual
THERESA GOLDSTROHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
16405 NORTHCROSS DR, SUITE G2, HUNTERSVILLE, NC 28078-5091
(704) 897-2450
Mailing address
PO BOX 174, YATESBORO, PA 16263-0174
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE004082L
PA
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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