Individual
MR. RICHARD DANIEL DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
16405 NORTHCROSS DR, SUITE G2, HUNTERSVILLE, NC 28078-5091
(704) 897-2456
Mailing address
16405 NORTHCROSS DR, SUITE G2, HUNTERSVILLE, NC 28078-5091
(704) 897-2456
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
20987
FL
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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