Individual
MRS. DEBORAH CONLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8300 FALLS OF NEUSE RD STE 104, RALEIGH, NC 27615-3450
(919) 846-9668
Mailing address
8300 FALLS OF NEUSE RD STE 104, RALEIGH, NC 27615-3450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7811
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2500290
MEDICARE
NC
Enumeration date
01/23/2008
Last updated
01/23/2008
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