Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VERNICE DOLORES GALLON CLYBURN, LRT/CTRS
Active Sole ProprietorVERNICE DOLORES GALLON CLYBURN, LRT/CTRS is a Recreation Therapist healthcare provider located in KANNAPOLIS, North Carolina. NPI 1962923474 is currently active in the NPPES registry. Verify at CMS.
Recreation Therapist · KANNAPOLIS, NC
Registration Details
- NPI Number
- 1962923474
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2017 (9.1307745985078 yrs)
- Last Updated
- Mar 15, 2021
- Licenses
-
19360 (NC)1702 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
126 S ROSE AVEKANNAPOLIS, NC, 280833552Browse NC providers · Browse ZIP 28083
- Phone
- 7049389657
- Primary Specialty
-
Recreation Therapist
225800000X
- Additional Specialty
- Recreation Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.