Individual
PAMELA PETACK DINGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 SUNNYBROOK RD, RALEIGH, NC 27610-1827
(984) 974-4950
(984) 974-5305
Mailing address
107 SUNNYBROOK RD, RALEIGH, NC 27610-1827
(984) 974-4950
(984) 974-5305
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9304
NC
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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