Individual
AMANDA RABY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1200 CARLOS DR, RALEIGH, NC 27609-4766
(919) 334-2495
(929) 334-2218
Mailing address
8205 IVYMOUNT WAY, RALEIGH, NC 27613-4243
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P12198
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12198
PHYSICAL THERAPY LICENSE
NC
Enumeration date
02/28/2022
Last updated
02/28/2022
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