Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 2731 | NC |
NPI | 1013111715 |
---|---|
Provider Name | Mrs. Kristin Rhinehart Vernon |
First Address | Dallas, NC 28034-8537 |
Second Address | Gastonia, NC 28054-0613 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 08/07/2007 |