Individual
DIPA DESAI BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5405 WALTON HILL RD, KNIGHTDALE, NC 27545-9425
(252) 492-7021
Mailing address
5405 WALTON HILL RD, KNIGHTDALE, NC 27545-9425
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1804
NC
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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