Individual
AVNI MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5705 FAYETTEVILLE RD, DURHAM, NC 27713-5318
(224) 256-7371
Mailing address
425 WHITE IRIS LOOP, CARY, NC 27519-1010
(224) 256-7371
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-CP000651A
NC
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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