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Ms. Kathleen Ellison Ralph, PT
Specialist in Clemmons, North Carolina
NPI 1558497867

Kathleen Ellison Ralph is a Specialist based in Clemmons, NC. Kathleen Ellison Ralph practices in Clemmons, NC and has the professional credentials of PT. The NPI Number for Kathleen Ellison Ralph is 1558497867 and holds a License No. 3023 (North Carolina).

The current practice location address for Kathleen Ellison Ralph is 333 Washington Dr, Clemmons, NC and can be reached out via phone at 336-764-8066.

Location: 333 Washington Dr, Clemmons, NC, 27012-7258
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558497867
Provider Name
Kathleen Ellison Ralph
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
333 Washington Dr, Clemmons, NC, 27012-7258
Phone Number
336-764-8066
Fax Number
Provider Enumeration Date
02/23/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
333 Washington Dr
City
Clemmons
State
North Carolina
Zip
27012-7258
Phone Number
336-764-8066
Fax Number
person
Provider Business Mailing Address Details
Address
333 Washington Dr
City
Clemmons
State
North Carolina
Zip
27012-7258
Phone Number
336-764-8066
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
3023 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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