Individual
MISS IVY B. ENAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2501 DOWNING ST SW, WILSON, NC 27893-4517
(732) 485-1321
Mailing address
2209 WHITE ROCKS RD, WAKE FOREST, NC 27587-4232
(732) 485-1321
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
40QA01062800
NJ
225100000X
Physical Therapist
Primary
P12386
NC
Other
Enumeration date
12/29/2007
Last updated
10/17/2021
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