Individual
REGINA LYNN BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2300 ABERDEEN BLVD, GASTONIA, NC 28054-0613
(704) 834-3037
Mailing address
661 WILLIS RD, DALLAS, NC 28034-9597
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
597
NC
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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