Individual
GWENDOLYN COLTRANE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
566 RUIN CREEK RD, HENDERSON, NC 27536-2927
(252) 410-3708
Mailing address
1327 TOLLIE WELDON RD, HENDERSON, NC 27537-9171
(252) 430-6503
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1903
NC
Other
Enumeration date
07/07/2013
Last updated
07/07/2013
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