Individual
VANCE ALEXANDER PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
101 BRUCEWOOD RD, SOUTHERN PINES, NC 28387-5159
(910) 692-4928
Mailing address
320 W BALTIMORE AVE, PINEBLUFF, NC 28373-8194
(910) 585-1089
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6987
NC
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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