Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Apr 5, 2006
License(s)
9715 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 17304 ROSE GARDEN LN | Durham, NC 27707-6804 | 919-414-2302 |
| LOCATION | 5826 FAYETTEVILLE RD STE 104 | Durham, NC 27713-8684 | 919-361-0104 |
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