Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Dec 15, 2020
License(s)
P19989 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 100 FITNESS DR | Fuquay Varina, NC 27526-7263 | 919-557-3100 |
| MAILING | 100 FITNESS DR | Fuquay Varina, NC 27526-7263 | 919-557-3100 |
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