DARREN EUGENE PRIDE

GASTONIA, NC
NPI1104078856
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306602552)
Enumeration Date2008-10-14
Last Update Date2008-10-14
Business Address
DARREN EUGENE PRIDE PTA
801 COX RD
GASTONIA, NC 28054-3453
Phone number: 704-867-7455
Mailing Address
DARREN EUGENE PRIDE PTA
15705 COLONY OAKS DR APT 522
CHARLOTTE, NC 28277-3005
Phone number: 410-963-8960
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