Individual
MRS. DIANE ELIZABETH FLEETWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
111 TREY DR, GOLDSBORO, NC 27530-9086
(919) 734-5063
Mailing address
111 TREY DR, GOLDSBORO, NC 27530-9086
(919) 734-5063
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0055
NC
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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