Individual
MISS DOROTHY DANIELLE MORRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
501 EXECUTIVE PL, FAYETTEVILLE, NC 28305-5390
(910) 425-5550
Mailing address
5969 LAKE TRAIL DR, FAYETTEVILLE, NC 28304-0539
(910) 885-4072
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36353114
NC
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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