Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 226 | NC |
NPI | 1245533116 |
---|---|
Provider Name | Donna Pleasants |
First Address | Raleigh, NC 27616-2815 |
Second Address | Roxboro, NC 27573-4511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2010 |
Last Update Date | 14/12/2010 |