Individual
ANDREA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
109 HUMBOLD PL, MOORESVILLE, NC 28115-8318
(704) 658-0944
Mailing address
109 HUMBOLD PLACE, MOORESVILLE, NC 28115
(704) 658-0944
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3477
NC
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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