Wanda Lisa Crunkleton, PTA

Physical Therapy Assistant · Wilson, NC

Individual Active NPI

NPI number 1093298804

Practice location

1705 Tarboro St SW
Wilson, NC 27893-3428
Phone
(252) 399-8998

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NPI record

NPI
1093298804
Entity type
Individual (Type 1)
Enumeration date
September 8, 2018
Last updated
September 8, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 604 NC

Mailing address

274 Watery Branch Church Rd
Stantonsburg, NC 27883-9179
Phone
(919) 920-3850

About Wanda Crunkleton

Wanda Lisa Crunkleton, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1705 Tarboro St SW, Wilson, NC 27893-3428. The NPI number 1093298804 was assigned on September 8, 2018 and the record was last updated on September 8, 2018.

Wanda Crunkleton lists a license in the registry: #604 (NC) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wanda Lisa Crunkleton, PTA?

The NPI number is 1093298804.

What is the phone number of Wanda Crunkleton?

The phone number listed for the practice location is (252) 399-8998.

Where is Wanda Crunkleton located?

1705 Tarboro St SW, Wilson, NC 27893-3428.

What is the taxonomy code for Wanda Crunkleton?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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