Individual
KAREN HOLLOWAY TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
188 BISHOP RD, ROANOKE RAPIDS, NC 27870-9236
(252) 308-9417
Mailing address
188 BISHOP RD, ROANOKE RAPIDS, NC 27870-9236
(252) 308-9417
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2574
NC
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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