Individual
RONNIE NOTTINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
180 HAMPTON DR, FATE, TX 75087-6886
(903) 217-6407
Mailing address
406 S MAIN ST, WINNSBORO, TX 75494-3226
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2041226
—
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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