Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | P5525 | NC |
NPI | 1174846760 |
---|---|
Provider Name | Ms. Christina P Pate |
First Address | Apex, NC 27502-5232 |
Second Address | Apex, NC 27502-5232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2010 |
Last Update Date | 07/11/2021 |