Individual
MISS PANKTI J DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
10940 RAVEN RIDGE RD, SUITE 110, RALEIGH, NC 27614-6610
(919) 518-0420
(919) 518-0421
Mailing address
10940 RAVEN RIDGE RD, SUITE 110, RALEIGH, NC 27614-6610
(919) 518-0420
(919) 518-0421
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12537
NC
Other
Enumeration date
03/01/2010
Last updated
03/01/2010
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