Individual
MRS. DOLORES DE LA CONCEPCION NEZHADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1801 OLIVE CHAPEL RD, APEX, NC 27502-8586
(919) 296-0895
Mailing address
1801 OLIVE CHAPEL RD, STE 3, APEX, NC 27502-8586
(919) 535-8758
(321) 773-8154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P14823
NC
225100000X
Physical Therapist
PT22947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-22947
STATE OF FL. PT LICENSE
FL
Enumeration date
10/11/2006
Last updated
12/22/2016
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