Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jan 27, 2016
License(s)
P10475 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 10,000 CAMBRIDGE VILLAGE LOOP | Apex, NC 27502 | 919-350-1508 |
| MAILING | 611 RALEIGH ST | Fuquay Varina, NC 27526-2333 | 919-818-3083 |
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