Individual
DEONNA SUITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3609 BOND ST, RALEIGH, NC 27604-3801
(919) 231-8763
Mailing address
4421 CANADIAN CT, RALEIGH, NC 27616-8785
(919) 740-8068
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PT3839
NC
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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