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Individual

KARLA NITSCHKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
4911 BRIAN CENTER LN, WINSTON SALEM, NC 27106-6423
(704) 920-0334
Mailing address
1642 WELFORD DR, KERNERSVILLE, NC 27284-6967

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
NC
225200000X
Physical Therapy Assistant
A7187
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A7187
PHYSICAL THERAPIST ASSISTANT
NC
Enumeration date
06/17/2021
Last updated
06/23/2021
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