Individual
MS. CONSTANCE BUELL NEHLS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, PT, CLT
Contact information
Practice address
2907 BLUE RIDGE RD, SUITE 200, RALEIGH, NC 27607-6423
(919) 784-4696
(919) 784-4697
Mailing address
11100 N RADNER WAY, RALEIGH, NC 27613-5532
(919) 844-0396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5958
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5958
PHYSICAL THERAPY LICENSE
NC
Enumeration date
04/26/2006
Last updated
07/08/2007
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