Individual
AMY H PANNULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1108 DRESSER CT, SUITE 201B, RALEIGH, NC 27609-7328
(919) 876-7328
(919) 954-8706
Mailing address
1108 DRESSER CT, SUITE 201B, RALEIGH, NC 27609-7328
(919) 876-7328
(919) 954-8706
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10818
NC
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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