Individual
DONALD WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2401 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-1727
(919) 736-7093
Mailing address
113 DALY AVE, DUDLEY, NC 28333-9107
(919) 736-7093
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
446
NC
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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