Registry details
Type
Individual
Primary specialty
Physical Therapist, Orthopedic
Enumerated
Aug 6, 2008
License(s)
PT60010489 (WA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 100 BREWSTER BLVD | Camp Lejeune, NC 28547-2575 | 253-298-1035 |
| MAILING | 100 BREWSTER BLVD | Camp Lejeune, NC 28547-2575 |
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