Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Sep 15, 2022
License(s)
P21715 (NC), 008754 (KY), PT030520 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1200 CORPORATE DR STE 400 | Hoover, AL 35242-5424 | 423-405-6356 |
| LOCATION | 1728 FORDHAM BLVD STE 115 | Chapel Hill, NC 27514-2332 | 919-883-4454 |
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