Individual
DALE A SHEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1903 S HAWTHORNE RD, WINSTON SALEM, NC 27103-3916
(336) 718-6700
(336) 718-6798
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P6081
NC
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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