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David Wyatt
NPI 1790290468 · on the registry since 2017
Practice
- Address
- 400 Becker Dr Ste A
Roanoke Rapids, NC 27870 - Phone
- (252) 537-0164
- Organisation at this address
- Grace Pediatric Therapy Services Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Also registered as
- 237700000X
- Licence states on file
- VA, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-03
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