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Traci Diveley, PTA
NPI 1326653676 · on the registry since 2020 · sole proprietor
Practice
- Address
- 10810 Sandy Oak Ln
Raleigh, NC 27614 - Phone
- (919) 846-7147
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
- Licence states on file
- IL, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina