Regina East Blue, PTA
NPI #1598279986 in Mount Gilead, North Carolina
Provider Information
- NPI Number
- 1598279986
- Entity Type
- Individual
- Name
- Regina East Blue, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Nov 22, 2017
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 8131 TWIN HARBOR DR
- City
- Mount Gilead
- State
- North Carolina
- ZIP Code
- 27306-9507
- Phone
- (910) 571-1517
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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