Individual
BRENDA NANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 GLENWOOD AVE, SUITE 160, RALEIGH, NC 27608-1043
(919) 781-9565
Mailing address
2626 GLENWOOD AVE, SUITE 160, RALEIGH, NC 27608-1043
(919) 781-9565
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3000
NC
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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