Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Nov 28, 2024
License(s)
P22540 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1322 ELEMENT WAY APT 13203 | Wilmington, NC 28412-1630 | 919-793-8584 |
| LOCATION | 2131 S 17TH ST | Wilmington, NC 28401-7407 | 910-667-7835 |
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