Individual
MRS. CAROLANN HENLINE WIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3515 GLENWOOD AVE, RALEIGH, NC 27612-4934
(919) 863-6873
Mailing address
3515 GLENWOOD AVE, RALEIGH, NC 27612-4934
(919) 863-6873
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
005636
KY
225100000X
Physical Therapist
Primary
13622
NC
Other
Enumeration date
07/19/2010
Last updated
11/29/2012
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