Individual
DIANE MARIE DONOGHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED
Contact information
Practice address
5101 PROSPERITY CHURCH RD, CHARLOTTE, NC 28269-8732
(704) 548-9111
(704) 548-9191
Mailing address
5101 PROSPERITY CHURCH RD, SHADS LANDING, CHARLOTTE, NC 28269
(704) 548-9111
(704) 548-9191
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
752
NC
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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