Individual
MRS. ELLEN V MORICONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1206 W CHATHAM ST, CARY, NC 27513-5246
(919) 462-9147
Mailing address
612 WILLINGHAM RD, MORRISVILLE, NC 27560-7479
(919) 924-1861
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3384
NC
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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