Individual
MRS. CARMEN LARAE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2430 CHARLES BLVD, GREENVILLE, NC 27858-5924
(252) 215-9119
(252) 215-9121
Mailing address
PO BOX 4065, GREENVILLE, NC 27836-2065
(252) 215-9119
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2952
OK
Other
Enumeration date
10/25/2005
Last updated
05/23/2019
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