Individual
MRS. MARY KAY MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
103 GOSSMAN RD, SOUTHERN PINES, NC 28387-2225
(910) 692-7293
Mailing address
2082 7 LKS S, WEST END, NC 27376-9611
(910) 273-7012
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2155
NC
Other
Enumeration date
04/16/2009
Last updated
06/09/2023
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