Individual
MS. ALLISON MOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFO
Contact information
Practice address
2301 ERWIN RD RM 6202, DURHAM, NC 27705-4699
(919) 681-2675
Mailing address
299 ROYAL OAK LN, GARNER, NC 27529-9240
(919) 268-7038
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CFO05319
NC
Other
Enumeration date
08/02/2021
Last updated
07/25/2022
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