Provider Demographics
NPI:1619234929
Name:ROUNTREE, ANNEKA YVETTE
Entity Type:Individual
Prefix:
First Name:ANNEKA
Middle Name:YVETTE
Last Name:ROUNTREE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 HANNER TOWN RD
Mailing Address - Street 2:
Mailing Address - City:BEAR CREEK
Mailing Address - State:NC
Mailing Address - Zip Code:27207-9255
Mailing Address - Country:US
Mailing Address - Phone:919-937-0433
Mailing Address - Fax:
Practice Address - Street 1:2908 CONCERTO CT
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27539-3615
Practice Address - Country:US
Practice Address - Phone:919-363-7585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist