Individual
BRIAN CLONINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3101 DURALEIGH RD, RALEIGH, NC 27612-4189
(615) 613-1956
Mailing address
441 BARNARD CASTLE CT, ROLESVILLE, NC 27571-9716
(615) 613-1956
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5690
NC
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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