Individual
KEYARA LEIGH DONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 HORIZON DR STE 310, RALEIGH, NC 27615-4926
(919) 424-5080
Mailing address
131 WEXFORD DR UNIT 106, ANDERSON, SC 29621-1717
(864) 557-0220
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.5019
SC
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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