Dianne Domst

NPI 1619144110 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1619144110
Gender Female
Enumeration Date 05/14/2008
Last Updated 05/14/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
411 S LASALLE ST
DURHAM NC, 27705-3701, US
Phone (191) 938-3552
Fax
Business Location
5200 SUMMIT MANOR LN
APT 409
RALEIGH NC, 27613-7067, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State North Carolina
License Number A3792
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According to our database, Dianne Domst NPI is 1619144110, taxonomy code is 225200000X and license number is A3792, license state is located at North Carolina. Dianne Domst physically located at 411 S Lasalle St, Durham NC, 27705-3701. NPI Number Dianne Domst has the Individual type.

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1619144110 NPI number is provided on an as is basis without warranty of any kind. 1619144110 is maintained by the National Plan & Provider Enumeration System. The contents of Dianne Domst are for informational purposes only.