Individual
MS. MARY CATHERINE DEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
231 TREETOP DR, FAYETTEVILLE, NC 28311-0606
(910) 488-4821
Mailing address
114 CASTLEROCK DR, SANFORD, NC 27332-1380
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6930
NC
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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