Individual
ANNE IANNUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5301 CREEDMOOR RD, RALEIGH, NC 27612-3822
(919) 615-1658
Mailing address
8532 HAWKSMOOR DR, RALEIGH, NC 27615-4139
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A921
NC
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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