Provider Demographics
NPI:1861524936
Name:CURRY, DACQUIN ROCHELLE (LMBT)
Entity type:Individual
Prefix:MRS
First Name:DACQUIN
Middle Name:ROCHELLE
Last Name:CURRY
Suffix:
Gender:F
Credentials:LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 ROME CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-4946
Mailing Address - Country:US
Mailing Address - Phone:704-408-8159
Mailing Address - Fax:
Practice Address - Street 1:706 ROME CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-4946
Practice Address - Country:US
Practice Address - Phone:704-408-8159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2416225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist