Individual
DARREN EUGENE PRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
801 COX RD, GASTONIA, NC 28054-3453
(704) 867-7455
Mailing address
15705 COLONY OAKS DR APT 522, CHARLOTTE, NC 28277-3005
(410) 963-8960
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602552
VA
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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