Individual
MRS. CORA SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3823 LAWNDALE DR, GREENSBORO, NC 27455-1605
(336) 288-8688
Mailing address
240 ALEXANDER PRESTON LN, WINSTON SALEM, NC 27127-7294
(336) 771-2176
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
304
NC
Other
Enumeration date
11/01/2009
Last updated
11/01/2009
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