Individual
MR. TOMMIE W STANLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
618A S MAIN ST, REIDSVILLE, NC 27320-5020
(336) 951-6090
Mailing address
618A S MAIN ST, REIDSVILLE, NC 27320-5020
(336) 951-6090
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5929
NC
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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