Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | P2208 | NC |
NPI | 1003153487 |
---|---|
Provider Name | Annette Hopkins Eaton |
First Address | Cary, NC 27519-5844 |
Second Address | Cary, NC 27511-5682 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2013 |
Last Update Date | 06/01/2013 |