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Individual

MS. DEMETRA ANN EMERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
6406 MCCRIMMON PKWY, SUITE 250, MORRISVILLE, NC 27560
(919) 467-4558
(919) 467-4558
Mailing address
6406 MCCRIMMON PKWY, SUITE 250, MORRISVILLE, NC 27560
(919) 467-4558

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10315
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
079WJ
BCBS
NC
01
828885
ACN MPN UHC
NC
01
E87M80
ACN MPN UHC
NC
Enumeration date
08/01/2006
Last updated
12/17/2008
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