Individual
DARA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
309 S SHARON AMITY RD, SUITE 104, CHARLOTTE, NC 28211-2978
(704) 372-7660
(704) 372-7659
Mailing address
660 W LINCOLN HWY, EXTON, PA 19341-2514
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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