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Individual

CHERYL R DAMBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPT

Contact information

Practice address
51014 FENSTERMACHER COURT, FRISCO, NC 27936-0143
(252) 995-4291
(252) 995-4291
Mailing address
PO BOX 143, FRISCO, NC 27936-0143
(252) 995-4291
(252) 995-4291

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4362
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7211673
NC
Enumeration date
10/27/2006
Last updated
06/10/2009
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