Individual
EMMA GRACE STANBERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 N KEY ST, PILOT MOUNTAIN, NC 27041-7587
(336) 444-4006
Mailing address
1130D SNOW BRIDGE LN, KERNERSVILLE, NC 27284-8411
(336) 904-0467
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
A7929
NC
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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