Individual
DEION CARINO PONSONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 SPRING FOREST RD, RALEIGH, NC 27609-9150
(919) 981-6100
Mailing address
7610 AURA LOOP UNIT 203, RALEIGH, NC 27617-8803
(732) 947-1694
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7150
NC
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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