Individual
DIANA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5227 ROBINHOOD VILLAGE DR, WINSTON SALEM, NC 27106-9819
(336) 923-0060
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 497-0005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P23802
NC
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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