Individual
MS. NANCY MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
2310 BALE ST STE 100, RALEIGH, NC 27608-1795
(919) 364-4000
(919) 746-9229
Mailing address
2310 BALE ST STE 100, RALEIGH, NC 27608-1795
(919) 364-4000
(919) 746-9229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
P17483
NC
2251X0800X
Orthopedic Physical Therapist
Primary
0167391
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10038514
CDPHP
—
01
—
2344476
AETNA HMO
—
01
—
7601093
AETNA PPO
—
01
—
814493
EMPIRE MPN
—
Enumeration date
10/12/2005
Last updated
10/10/2022
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