TANISHA SHANELLE WARE

SOUTHERN PINES, NC
NPI1497265839
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NC  A5872)
Enumeration Date2017-10-11
Last Update Date2017-10-11
Business Address
TANISHA SHANELLE WARE PTA
101 BRUCEWOOD RD
SOUTHERN PINES, NC 28387-5159
Phone number: 910-692-4928
Mailing Address
TANISHA SHANELLE WARE PTA
101 BRUCEWOOD RD
SOUTHERN PINES, NC 28387-5159
Phone number: 910-384-0455
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