Individual
MISS TAMMY GAIL BACKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
75 FISHER LOOP, MAGGIE VALLEY, NC 28751-5531
(828) 946-4326
Mailing address
355 DAYTON DR, WAYNESVILLE, NC 28786-6931
(423) 915-6707
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3438
NC
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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