TRACI ANNETTE DIVELEY

RALEIGH, NC
NPI1326653676
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NC  A7261)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: IL  160.001168)
Enumeration Date2020-09-14
Last Update Date2020-09-14
Business Address
Ms. TRACI ANNETTE DIVELEY PTA
10810 SANDY OAK LN
RALEIGH, NC 27614-8386
Phone number: 919-846-7147
Mailing Address
Ms. TRACI ANNETTE DIVELEY PTA
4905 SUMMIT ARBOR DR APT 103
RALEIGH, NC 27612-3381
Phone number: 309-216-3591