Individual
MRS. DANIELLE WIDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10820 PENNY RD, APT. 113, CARY, NC 27518-1916
(919) 610-6750
Mailing address
25101 PRAXIS WAY, CARY, NC 27519-0083
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4035
NC
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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