Individual
MS. FAITH N MARINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 PAMALEE DR, FAYETTEVILLE, NC 28301-2824
(910) 488-2295
Mailing address
502 SUFFOLK CT, FAYETTEVILLE, NC 28311-1344
(910) 728-0688
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4634
NC
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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