Traci Avent Mims, LPTA

NPI #1245430099 in Mebane, North Carolina

Provider Information

NPI Number
1245430099
Entity Type
Individual
Name
Traci Avent Mims, LPTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
LPTA
Enumeration Date
Jul 19, 2007
Last Updated
Jul 19, 2007

Practice Location

Address
1215 BRIARWOOD DR
City
Mebane
ZIP Code
27302-7183
Phone
(919) 304-2428

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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