Davyoneda Mcdaniel Mackey LPTA

NPI 1144541053 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1144541053
Gender Female
Enumeration Date 06/15/2010
Last Updated 01/15/2012
Entity Type Individual
Active Over 6 years ago
Practice Location
6001 WILORA LAKE RD
CHARLOTTE NC, 28212-2833, US
Phone (704) 563-2922
Fax
Business Location
3024 MARLOWE AVE
CHARLOTTE NC, 28208-4928, US
Phone (704) 497-2094
Fax
Toxanomy
Taxonomy Code 225200000X
License State North Carolina
License Number 853
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According to our database, Davyoneda Mcdaniel Mackey LPTA NPI is 1144541053, taxonomy code is 225200000X and license number is 853, license state is located at North Carolina. Davyoneda Mcdaniel Mackey LPTA physically located at 6001 Wilora Lake Rd, Charlotte NC, 28212-2833. NPI Number Davyoneda Mcdaniel Mackey LPTA has the Individual type.

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1144541053 NPI number is provided on an as is basis without warranty of any kind. 1144541053 is maintained by the National Plan & Provider Enumeration System. The contents of Davyoneda Mcdaniel Mackey LPTA are for informational purposes only.