Individual
DAVYONEDA MCDANIEL MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
6001 WILORA LAKE RD, CHARLOTTE, NC 28212-2833
(704) 563-2922
Mailing address
3024 MARLOWE AVE, CHARLOTTE, NC 28208-4928
(704) 497-2094
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
853
NC
Other
Enumeration date
06/15/2010
Last updated
01/15/2012
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