Individual
IVY CASS PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 FENNER LN, RALEIGH, NC 27603-1796
(573) 864-6565
Mailing address
111 FENNER LN, RALEIGH, NC 27603-1796
(573) 864-6565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P17195
NC
Other
Enumeration date
11/06/2017
Last updated
02/09/2023
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