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Individual

DASHAE RENEE SMALLWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
8218 SUTTONVIEW DR, CHARLOTTE, NC 28269-5189
(704) 649-4509
Mailing address
8162 COHOSH CT, RALEIGH, NC 27616-3347
(919) 522-6802

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P20863
NC

Other

Enumeration date
11/04/2021
Last updated
11/04/2021
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